Stephen R Holzman, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

023958 Issued in CT

Practice address

200 Oak St
Glastonbury, CT 06033-2320

Phone

(860) 657-8868

Fax

(860) 657-8802

NPI assigned

Apr 4, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Stephen R Holzman, MD LLC

  • Psychiatry Physician
  • Glastonbury, CT
  • NPI 1710152624
  NPD Authorized official
• Intercommunity, Inc.

  • Primary Care Clinic/Center
  • East Hartford, CT
  • NPI 1073548533
  NPD (past)
• Intercommunity, Inc.

  • Federally Qualified Health Center (FQHC)
  • East Hartford, CT
  • NPI 1962896548
  NPD (past)

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1821050915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 VALLEY VIEW RD",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060333621",
            "telephone_number": "860-657-8868",
            "fax_number": "860-657-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OAK ST",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332320",
            "telephone_number": "860-657-8868",
            "fax_number": "860-657-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLZMAN",
        "first_name": "STEPHEN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "023958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree Hillmon, ATC
• Mui Mui Hin-McCormick, MS, LMFT
• Rebecca Elizabeth Holberg, PA-C
• Laura J Holden, D.M.D.
• Megan Grace Hollister
• Melissa Ann Holznagel
• Home Care Pay LLC
• Joy E Hong, MD
• Honor Wellness Center Incorporated
• Honorable Hearts Home Care LLC

• Psychiatry Physician in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Psychiatry Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.