Alexandra Holtz

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146016595 Issued in IL

Practice address

1801 W Byron St
Chicago, IL 60613-2729

Phone

(773) 244-0700

NPI assigned

Aug 10, 2021

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Clinical Assist, LTD.

  dba Black Bear Academy

  • Clinical Child & Adolescent Psychologist
  • Chicago, IL
  • NPI 1518246255

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1861167033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 W WILSON AVE APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405209",
            "telephone_number": "262-302-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W BYRON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132729",
            "telephone_number": "773-244-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Franklin St",
            "address_purpose": "LOCATION",
            "city": "Waukegan",
            "state": "IL",
            "postal_code": "600854099",
            "country_code": "US",
            "telephone_number": "224-303-2160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLTZ",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-10",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146016595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark J Holterman, M.D.
• Kaitlin Mary Holtgrave, PT
• Abigail Grace Holthaus, MS
• Caitlin Holtmeyer
• Autumn Holtschlag
• Kelly Holtz
• Rosemary Holtz, RDN
• Anita C Holubiak
• Olha Holubova
• Holy Cross Hospital

• Speech-Language Pathologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.