Active NPI
Charles E Holland, PHD
- Psychiatry Physician
- Round Rock, TX
National Provider Identifier
1780757245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 26890
- Practice address
- 400 W Main
#212
Round Rock, TX 78664 - Phone
- (512) 341-0021
- Fax
- (512) 759-1608
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 26890 | TX | Primary |
Addresses
Primary practice location
400 W Main
#212
Round Rock, TX 78664
Mailing address
400 W Main
#212
Round Rock, TX 78664
Phone (512) 341-0021
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6144777 | Other | TX | UNITED BEHAVIORAL HEALTH |
| 158753 | Other | TX | VALUE OPTIONS |
| 0027EF | Other | TX | BCBS |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26890 | TX | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780757245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 W MAIN",
"address_2": "#212",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "78664",
"telephone_number": "512-341-0021",
"fax_number": "512-759-1608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 W MAIN",
"address_2": "#212",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "78664",
"telephone_number": "512-341-0021",
"fax_number": "512-759-1608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "CHARLES",
"middle_name": "E",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "26890",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "6144777",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "158753",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0027EF",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.