Deirdre Nicole Mooney-Holmes, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

33601 Issued in TX

Practice address

3605 Yucca Dr Ste 202
Flower Mound, TX 75028-2753

Phone

(469) 431-5616

NPI assigned

Apr 1, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Nicole Holmes Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1639757362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3605 YUCCA DR STE 202",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282753",
            "telephone_number": "469-431-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 YUCCA DR STE 202",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282753",
            "telephone_number": "469-431-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY-HOLMES",
        "first_name": "DEIRDRE",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "33601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "HOLMES",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lisa B. Mongoven, PSY.D.
• Monlin Holdings, LLC (Seniors Helping Seniors)
• Beth C Montigue, MD
• Kate Moon, NP-BC
• Randi Rose Moon, MAC, LPC-INTERN
• Brandon Moore, PT, DPT
• Brice Moore, MA
• Chanae Moore, LPC ASSOCIATE
• Stephanie Sue Moore, M.S., SLP
• Jasmin Miriam Moorer, RBT

• Psychologist in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.