Individual provider Active NPI

Lindsay D Holbein

  • Clinical Psychologist
  • Baltimore, MD
National Provider Identifier
1760852727
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
05091 Issued in MD
Practice address
616 Franklin Ave
Baltimore, MD 21221-4929
Phone
(443) 801-1575
NPI assigned
Oct 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 05091 MD Primary

Addresses

Primary practice location

616 Franklin Ave
Baltimore, MD 21221-4929

Mailing address

PO Box 1046
Bel Air, MD 21014-7046
Phone (703) 477-8210

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151123002168 MD Practitioner - Clinical Psychologist 2466752431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
66.41 of 100Reported as group
Quality
30.12
Promoting interoperability
80
Improvement activities
40
Cost
57.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05091MDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sheppard Pratt Physicians, P.a. CurrentSince Jan 31, 2023 Accepting new patients
Consultation and Crisis Intervention Associates, LLC Past Accepting new patients

Locations

6501 N Charles St
Towson, MD 21204
Phone (410) 938-3000

6701 N Charles St
Towson, MD 21204
Phone (443) 849-2000

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": "1443830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1760852727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1046",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210147046",
            "telephone_number": "703-477-8210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 FRANKLIN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212214929",
            "telephone_number": "443-801-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLBEIN",
        "first_name": "LINDSAY",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-03",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "05091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.