Individual provider Active NPI

Natasha Holmes, PSYD

  • Psychologist
  • Boston, MA
National Provider Identifier
1740615715
Registry record updated Aug 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
800 Boylston St FL 16
Boston, MA 02199-7637
Phone
(978) 572-0794
Fax
(978) 496-8771
NPI assigned
Sep 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

800 Boylston St FL 16
Boston, MA 02199-7637

Mailing address

800 Boylston St FL 16
Boston, MA 02199-7637
Phone (978) 572-0794

Other practice location 1

2905 River Rd S
Salem, OR 97302-9754
Phone (503) 391-7175

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

Practice roles

OrganizationSpecialtyStatusNew patients
And Still We Rise, LLC Current Accepting new patients
Professional Therapuetic Community Network Past Accepting new patients
Professional Therapeutic Community Network, Inc Past Accepting new patients

Locations

10900 NE 4th St
Ste 2300
Bellevue, WA 98004
Phone (412) 406-7629

Organizations & group practices 3

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": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567209600000",
    "number": "1740615715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BOYLSTON ST FL 16",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021997637",
            "telephone_number": "978-572-0794",
            "fax_number": "978-496-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BOYLSTON ST FL 16",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021997637",
            "telephone_number": "978-572-0794",
            "fax_number": "978-496-8771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2905 River Rd S",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973029754",
            "country_code": "US",
            "telephone_number": "503-391-7175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "NATASHA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2019-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2019; 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.