Mary T Holcomb PSYD LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MARY T HOLCOMB PSYD LLC

Practice address

2700 Westhall LN Ste 110
Maitland, FL 32751-7403

Phone

(407) 475-1025

Fax

(407) 475-1027

NPI assigned

Dec 24, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Mary T Holcomb, PSY.D.

Title

Mary T Holcomb

Phone

(407) 923-3927

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Central Florida Psychological Services, PA Other name

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

{
    "created_epoch": "1545609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545609600000",
    "number": "1730651142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 KERSFIELD CIR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461936",
            "telephone_number": "407-923-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 WESTHALL LN STE 110",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517403",
            "telephone_number": "407-475-1025",
            "fax_number": "407-475-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY T HOLCOMB PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-24",
        "last_updated": "2018-12-24",
        "status": "A",
        "authorized_official_last_name": "HOLCOMB",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MARY T HOLCOMB",
        "authorized_official_telephone_number": "407-923-3927",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1235154352",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Florida Psychological Services, PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Leticia Josefina Martinez
• Michael A Martinez, MA, LMHC
• Virginia Carol Martinsen
• Jane L Martorana
• Taylor Martz
• Jamaria Massey
• Match Point Orlando, LLC
• Cheryl Renee Matchett
• Megan Emons Mathews, PA-C
• Reynaldo Matos Torres, CRNA

• Adult Mental Health Clinic/Center in Maitland, FL
• Providers in Maitland, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2018; 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.