Stephen R Holzman, MD LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

023958 Issued in CT

Legal business name

STEPHEN R HOLZMAN, MD LLC

Practice address

200 Oak St
Glastonbury, CT 06033-2320

Phone

(860) 657-8868

Fax

(860) 657-8802

NPI assigned

Apr 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Stephen R Holzman, M.D.NPI 1821050915

Title

Psychiatrist

Phone

(860) 657-8868

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen R Holzman, M.D.

  • Psychiatry Physician
  • Glastonbury, CT
  • NPI 1821050915
  NPD Authorized official

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1710152624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OAK ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332320",
            "telephone_number": "860-657-8868",
            "fax_number": "860-657-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OAK ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332320",
            "telephone_number": "860-657-8868",
            "fax_number": "860-657-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN R HOLZMAN, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "HOLZMAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "860-657-8868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "023958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001239581",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Hoffman Staron, BCBA
• Jason J Stauffer
• Michael Steady, CRC, LADC, LPC
• Claudia Thompson Steeves, OTR
• Donna Stefano, OTR
• Cheryl Lynn Steuhl, MS, ATC
• Lauren Elizabeth Stevens
• Thomas Henry Stevens IV, LADC, LPC-A
• Jeffrey Stickles, LADC
• Ralph Peter Stocker, M.D.

• Psychiatry Physician in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Psychiatry Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.

Verify at the official NPI Registry.