NPIMap

Organization Active NPI

Casey a Holtz PHD LLC

  • Clinical Psychologist
  • Milwaukee, WI
National Provider Identifier
1669814471
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2962-57 Issued in WI
Legal business name
CASEY A HOLTZ PHD LLC
Practice address
126 N Jefferson St
Suite 200
Milwaukee, WI 53202-6132
Phone
(414) 810-7647
Fax
(414) 755-0640
NPI assigned
Jul 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Authorized official

Name
Casey A Holtz, PHDNPI 1295040988
Title
President
Phone
(414) 810-7647

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 2962-57 WI Primary

Addresses

Primary practice location

126 N Jefferson St
Suite 200
Milwaukee, WI 53202-6132

Mailing address

126 N Jefferson St
Suite 200
Milwaukee, WI 53202-6132
Phone (414) 810-7647

National Provider Directory

National Provider Directory

Locations

126 N Jefferson St
Ste 200
Milwaukee, WI 53202
Phone (414) 810-7647

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1669814471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 N JEFFERSON ST",
            "address_2": "SUITE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532026132",
            "telephone_number": "414-810-7647",
            "fax_number": "414-755-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 N JEFFERSON ST",
            "address_2": "SUITE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532026132",
            "telephone_number": "414-810-7647",
            "fax_number": "414-755-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASEY A HOLTZ PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "HOLTZ",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-810-7647",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2962-57",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.