Individual provider Active NPI

Holly Ann Kalinay

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, PA
National Provider Identifier
1740962463
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN626717 Issued in PA
Practice address
649 Cornfield Way Apt 302
Dallas, PA 18612-7233
Phone
(570) 846-1029
NPI assigned
Aug 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN626717 PA Primary

Addresses

Primary practice location

649 Cornfield Way Apt 302
Dallas, PA 18612-7233

Mailing address

649 Cornfield Way Apt 302
Dallas, PA 18612-7233
Phone (570) 846-1029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231222002313 MA Practitioner - Nurse Practitioner 7315397965 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN626717PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Brain Health PLLC CurrentSince Dec 1, 2023 Accepting new patients
Center for Brain Health PLLC CurrentSince Dec 1, 2023 Accepting new patients

Locations

1101 Beacon St
Ste 8W
Brookline, MA 02446
Phone (617) 277-5510

Organizations & group practices 2

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": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1740962463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 CORNFIELD WAY APT 302",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186127233",
            "telephone_number": "570-846-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 CORNFIELD WAY APT 302",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186127233",
            "telephone_number": "570-846-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALINAY",
        "first_name": "HOLLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "RN626717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, PA

Sources for this page

Verify at the official NPI Registry.