Individual provider Active NPI

Davin Holland, PSY 60980939

  • Psychologist
  • Bainbridge Island, WA
National Provider Identifier
1740003201
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY60980939 Issued in WA
Practice address
710 Ericksen Ave NE Ste 100
Bainbridge Island, WA 98110-2835
Phone
(360) 230-8141
NPI assigned
Nov 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY60980939 WA Primary

Addresses

Primary practice location

710 Ericksen Ave NE Ste 100
Bainbridge Island, WA 98110-2835

Mailing address

710 Ericksen Ave NE Ste 100
Bainbridge Island, WA 98110-2835
Phone (360) 230-8141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY60980939WAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1740003201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 ERICKSEN AVE NE STE 100",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102835",
            "telephone_number": "360-230-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 ERICKSEN AVE NE STE 100",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102835",
            "telephone_number": "360-230-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "DAVIN",
        "name_prefix": "Dr.",
        "credential": "PSY 60980939",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PSY60980939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.