Active NPI
Bruce Wayne Holmes, PSY.D
- Clinical Psychologist
- Fort Dix, NJ
National Provider Identifier
1750354684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 016052
- Practice address
- 5250 New Jersey Ave
Fort Dix, NJ 08640-5017 - Phone
- (609) 562-5670
- NPI assigned
- Feb 10, 2006
- Last updated
- Aug 19, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 016052 | NY | Primary |
Addresses
Primary practice location
5250 New Jersey Ave
Fort Dix, NJ 08640-5017
Mailing address
First Montgomery Drive
35-B
Mount Holly, NJ 08060
Phone (609) 562-5670
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439942400000",
"number": "1750354684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FIRST MONTGOMERY DRIVE",
"address_2": "35-B",
"city": "MOUNT HOLLY",
"state": "NJ",
"postal_code": "08060",
"telephone_number": "609-562-5670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5250 NEW JERSEY AVE",
"city": "FORT DIX",
"state": "NJ",
"postal_code": "086405017",
"telephone_number": "609-562-5670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "BRUCE",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2015-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "016052",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Dix, NJ
- Lucy Gorelli, M.D.
- Jamie Greenspan, MSW, LCSW, LCADC
- Michelle Denise Guy, LPN
- Vincent Depaul Hess, LPN
- Joy A Hoffman, PTA
- Joshua Evans Houseman, PSY.D.
- Dianne Jackson, NP
- Marcia Annette Johnson, CRNP
- Keller Army Community Hospital (Usadc West Point Mills)
- Keller Army Community Hospital (Mills Troop Clinic-Ft. Dix)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.