Individual provider Active NPI

Heather L Holder, PSY.D.

  • Forensic Psychologist
  • San Antonio, TX
National Provider Identifier
1740551233
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
License
33855 Issued in TX
Practice address
8627 Cinnamon Creek Dr Ste 601
San Antonio, TX 78240-1482
Phone
(210) 722-3576
NPI assigned
Jan 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychologist 103TF0200X 33855 TX Primary

Addresses

Primary practice location

8627 Cinnamon Creek Dr Ste 601
San Antonio, TX 78240-1482

Mailing address

8627 Cinnamon Creek Dr Ste 601
San Antonio, TX 78240-1482
Phone (210) 722-3576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1326672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1740551233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8627 CINNAMON CREEK DR STE 601",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401482",
            "telephone_number": "210-722-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8627 CINNAMON CREEK DR STE 601",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401482",
            "telephone_number": "210-722-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDER",
        "first_name": "HEATHER",
        "middle_name": "L",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-16",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "TX",
            "license": "33855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.