Individual provider Active NPI

Tara Michele Holmquist, PSY.D.

  • Clinical Psychologist
  • Sherman Oaks, CA
National Provider Identifier
1588926141
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY27888 Issued in CA
Practice address
14900 Magnolia Blvd Unit 57501
Sherman Oaks, CA 91413-7172
Phone
(626) 509-9546
Fax
(626) 517-5085
NPI assigned
Jun 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY27888 CA Primary

Addresses

Primary practice location

14900 Magnolia Blvd Unit 57501
Sherman Oaks, CA 91413-7172

Mailing address

PO Box 2412
La Crosse, WI 54602-2412
Phone (626) 509-9546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160926001843 CA Practitioner - Clinical Psychologist 9931496544 Reassigns benefits to 1 organization
I20240715002206 WI Practitioner - Clinical Psychologist 9931496544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2110 Prairie PL
Holmen, WI 54636-2216
Phone (626) 509-9546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Current Accepting new patients
TMH Psychotherapy Corporation Clinical CurrentSince Mar 22, 2017 Accepting new patients
Carrie Horn and Associates Psychological Corporation PastSince Feb 9, 2014 Accepting new patients

Locations

1191 E Walnut St
Pasadena, CA 91106
Phone (424) 388-1038

1605 Hope St
Ste 335
South Pasadena, CA 91030
Phone (626) 321-7554

Interoperability endpoints

  • Direct secure messaging: taraholmquist@tdh.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1588926141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2412",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546022412",
            "telephone_number": "626-509-9546",
            "fax_number": "626-517-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14900 MAGNOLIA BLVD UNIT 57501",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914137172",
            "telephone_number": "626-509-9546",
            "fax_number": "626-517-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMQUIST",
        "first_name": "TARA",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-11",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.