Eugene Paul Holmes, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071005108 Issued in IL

Practice address

1800 Ravinia PL
Orland Park, IL 60462-3761

Phone

(708) 403-7570

Fax

(708) 403-7546

NPI assigned

Oct 31, 2006

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 2

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Clinical Psychologist

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Emotion Management Program LLCGroup PAC ID 8628171360, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Emotion Management Program LLC

  dba Emotion Management Program

  • Clinical Psychologist
  • Orland Park, IL
  • NPI 1083780522
  Medicare reassignment Care Compare group NPD Authorized official
• Heritage Professional Associates LTD

  • Psychologist
  • Hinsdale, IL
  • NPI 1033244173
  NPD (past)

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280448000000",
    "number": "1790861664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P. O. BOX 747",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604061125",
            "telephone_number": "708-403-7570",
            "fax_number": "708-403-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 RAVINIA PL",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604623761",
            "telephone_number": "708-403-7570",
            "fax_number": "708-403-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "EUGENE",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2010-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071005108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN HEALTH SERVICES",
            "identifier": "279826000",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL",
            "identifier": "01634764",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Raphael Hollie, BEHAVIOR ANALYST
• India Hollinquest, MSN, APRN, FNP-BC
• Jordan Barnhill Holloran, LSW
• Tiffany Holloway-Simpson, PTA
• Brianne Holmes, D.C.
• Home Health Advantage, Inc.
• Home Health Advantage, Inc.
• Home Podiatry Care, Inc
• Homequest Care, Inc.
• Kent Hook, LCSW

• Clinical Psychologist in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.