Individual provider Active NPI

Patrick Robert Hoolahan, PSYD

  • Clinical Psychologist
  • Bethlehem, PA
National Provider Identifier
1780280008
Registry record updated Dec 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS019178 Issued in PA
Practice address
35 E Elizabeth Ave Ste 26
Bethlehem, PA 18018-6505
Phone
(610) 320-2366
NPI assigned
Dec 10, 2020
Last updated
Dec 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2020

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 PS019178 PA Primary

Addresses

Primary practice location

35 E Elizabeth Ave Ste 26
Bethlehem, PA 18018-6505

Mailing address

538 N New St Apt 1F
Bethlehem, PA 18018-5719
Phone (703) 999-2811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20210407001939 PA Practitioner - Clinical Psychologist 4880001916 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Path Psychology Clinical CurrentSince Jan 1, 2021 Accepting new patients

Locations

35 E Elizabeth Ave
Ste 208
Bethlehem, PA 18018
Phone (610) 320-2366

35 E Elizabeth Ave
Ste 26
Bethlehem, PA 18018
Phone (610) 320-2366

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1780280008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 N NEW ST APT 1F",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185719",
            "telephone_number": "703-999-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 E ELIZABETH AVE STE 26",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180186505",
            "telephone_number": "610-320-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOLAHAN",
        "first_name": "PATRICK",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS019178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.