Holistic Approach Mental Health, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

R143360 Issued in MD

Legal business name

HOLISTIC APPROACH MENTAL HEALTH, LLC

Practice address

7452 Baltimore Annapolis Blvd
Suite #107
Glen Burnie, MD 21061-3547

Phone

(443) 621-1384

NPI assigned

Oct 29, 2013

Last updated

Jun 2, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ilya RozenbergNPI 1467460865

Title

Owner

Phone

(443) 621-1384

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ilya Rozenberg, MS/CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Glen Burnie, MD
  • NPI 1467460865
  Medicare reassignment Care Compare group NPD Authorized official
• Kristin Lynn Bussell, MS, CRNP-PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Crownsville, MD
  • NPI 1356533061
  Medicare reassignment Care Compare group NPD
• Maryann Chretin, LCPC

  • Professional Counselor
  • Glen Burnie, MD
  • NPI 1679041032
  Medicare reassignment Care Compare group NPD
• Liam Donovan, CRNP-PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Glen Burnie, MD
  • NPI 1083452502
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1528496650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7452 BALTIMORE ANNAPOLIS BLVD",
            "address_2": "SUITE #107",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613547",
            "telephone_number": "443-621-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7452 BALTIMORE ANNAPOLIS BLVD",
            "address_2": "SUITE #107",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613547",
            "telephone_number": "443-621-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC APPROACH MENTAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "ROZENBERG",
        "authorized_official_first_name": "ILYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-621-1384"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MD",
            "license": "R143360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia A Hohman, OTR/L, CHT
• Holabird Pharmacy, Inc (dba Universal Health)
• Holabird Pharmacy, Inc Dba Universal Health
• Holder Healthcare Consulting, LLC (Be Well Behavioral Health)
• Shannon Holder, DNP, NP-C, PMHNP-BC
• Holistic Touch Healthcare LLC
• Holistic Touch Healthcare LLC
• Jordan Holland
• Brandon S. Hollenberg, D.C.
• Colleen Elizabeth Holley, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.