Individual provider Active NPI

Ashley Holbert, PH.D.

  • Psychologist
  • Akron, OH
National Provider Identifier
1679956676
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
7309 Issued in OH
Practice address
3469 Fortuna Dr
Akron, OH 44312-5281
Phone
(330) 644-3469
Fax
(330) 644-8519
NPI assigned
Jul 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 7309 OH Primary

Addresses

Primary practice location

3469 Fortuna Dr
Akron, OH 44312-5281

Mailing address

3469 Fortuna Dr
Akron, OH 44312-5281
Phone (330) 644-3469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160510000541 OH Practitioner - Clinical Psychologist 6709175011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Akron Family Institute, Inc.Group PAC ID 1658437389, 10 clinicians

Practice addresses (Care Compare)

3469 Fortuna Dr
Akron, OH 44312-5281
Phone (330) 644-3469

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
7309OHMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Akron Family Institute, Inc. CurrentSince Dec 12, 2015 Accepting new patients

Locations

3469 Fortuna Dr
Green, OH 44312
Phone (330) 644-3469

Organizations & group practices 1

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": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1679956676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3469 FORTUNA DR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125281",
            "telephone_number": "330-644-3469",
            "fax_number": "330-644-8519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3469 FORTUNA DR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125281",
            "telephone_number": "330-644-3469",
            "fax_number": "330-644-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLBERT",
        "first_name": "ASHLEY",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "7309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.