Thomas Holbrook, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

17769-020 Issued in WI

Practice address

555 S Industrial Dr
Suite 1
Hartland, WI 53029-2338

Phone

(262) 367-7010

Fax

(262) 367-5132

NPI assigned

Aug 31, 2006

Last updated

Sep 4, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• BCS of Wisconsin S.C.

  • Psychiatry Physician
  • Waukesha, WI
  • NPI 1629579149
  Medicare reassignment NPD
• Allied Counseling Services, S.C.

  • Clinical Psychologist
  • Waukesha, WI
  • NPI 1003867813
  NPD (past)
• Hansen Therapy, LLC

  • Counseling Psychologist
  • Waukesha, WI
  • NPI 1093805095
  NPD (past)
• Slainte Clinic

  • Psychiatric/Mental Health Nurse Practitioner
  • Hartland, WI
  • NPI 1750151395
  NPD (past)
• Wisconsin Community Mental Health Counseling Centers, Inc

  • Mental Health Counselor
  • Mequon, WI
  • NPI 1558440552
  NPD (past)
• Forefront Telecare Inc

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1174035612
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220486400000",
    "number": "1760593180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S INDUSTRIAL DR",
            "address_2": "SUITE 1",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530292338",
            "telephone_number": "262-367-7010",
            "fax_number": "262-367-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S INDUSTRIAL DR",
            "address_2": "SUITE 1",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530292338",
            "telephone_number": "262-367-7010",
            "fax_number": "262-367-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLBROOK",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "17769-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31228300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hartland Terrace, LLC
• Olivia Mae Healey, D.C.
• Lisa Renae Herpolsheimer, LCSW
• Kimberly Hevrdejs, RN
• Charles C Hewett, DDS, MS
• Holzhauer & Hewett SC
• Daniel A Holzhauer, DDS, MS
• HSL 15, LLC
• Sarah Hudziak, MT-BC
• Susan Huycke, LCSW

• Psychiatry Physician in Hartland, WI
• Providers in Hartland, WI by specialty
• Psychiatry Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.