Active NPI
Susan L Holley PHD, a Psychological Corporation
- Clinical Psychologist
- Tehachapi, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- SUSAN L HOLLEY PHD, A PSYCHOLOGICAL CORPORATION
- Practice address
- 798 Tucker Rd Ste 1
Tehachapi, CA 93561-2503 - Phone
- (661) 206-8108
- Fax
- (661) 821-9752
- NPI assigned
- Jul 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Louise Holley, PHD
- Title
- Licensed Clinical Psychologist
- Phone
- (661) 206-8108
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
798 Tucker Rd Ste 1
Tehachapi, CA 93561-2503
Mailing address
798 Tucker Rd Ste 1
Tehachapi, CA 93561-2503
Phone (661) 206-8108
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
43535 17th St W
Ste 304
Lancaster, CA 93534
Phone (661) 722-9556
39959 Sierra Hwy
Ste A130
Palmdale, CA 93550
Phone (661) 206-8108
798 Tucker Rd
Ste 1
Tehachapi, CA 93561
Phone (661) 206-8108
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Tehachapi, CA
- NPI 1124056270
-
- Marriage & Family Therapist
- Lancaster, CA
- NPI 1912914748
-
- Family Medicine Physician
- Bakersfield, CA
- NPI 1558447250
-
- Mental Health Counselor
- Lancaster, CA
- NPI 1275672388
-
- Clinical Psychologist
- Leona Valley, CA
- NPI 1417346958
-
- Marriage & Family Therapist
- Lancaster, CA
- NPI 1497990543
-
- Clinical Social Worker
- Palmdale, CA
- NPI 1922142496
-
- Clinical Psychologist
- Los Angeles, CA
- NPI 1275613770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714521600000",
"number": "1598955239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "798 TUCKER RD STE 1",
"city": "TEHACHAPI",
"state": "CA",
"postal_code": "935612503",
"telephone_number": "661-206-8108",
"fax_number": "661-821-9752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "798 TUCKER RD STE 1",
"city": "TEHACHAPI",
"state": "CA",
"postal_code": "935612503",
"telephone_number": "661-206-8108",
"fax_number": "661-821-9752"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSAN L HOLLEY PHD, A PSYCHOLOGICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-30",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A",
"authorized_official_last_name": "HOLLEY",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "661-206-8108",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tehachapi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.