Active NPI
Brent Lamar Holt
- Psychologist
- Cleveland, OH
National Provider Identifier
1760962401
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(2) exclusion effective Aug 20, 2025.
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 21441664
- Practice address
- 6701 Madison Ave
Cleveland, OH 44102-4035 - Phone
- (216) 609-6259
- NPI assigned
- Aug 21, 2018
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 21441664 | OH | Primary |
Addresses
Primary practice location
6701 Madison Ave
Cleveland, OH 44102-4035
Mailing address
6701 Madison Ave
Cleveland, OH 44102-4035
Phone (216) 609-6259
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21441664 | OH | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534809600000",
"number": "1760962401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6701 MADISON AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441024035",
"telephone_number": "216-609-6259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 MADISON AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441024035",
"telephone_number": "216-609-6259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "BRENT",
"middle_name": "LAMAR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-21",
"last_updated": "2018-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "21441664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.