Individual provider Active NPI

Cheryl Cole Holland, PH.D.

  • Psychologist
  • Kensington, MD
National Provider Identifier
1861669442
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3404 Issued in MD
Practice address
10605 Concord St
Suite 100
Kensington, MD 20895-2504
Phone
(301) 946-2926
Fax
(301) 962-9200
NPI assigned
May 13, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3404 MD Primary
Clinical Child & Adolescent Psychologist 103TC2200X 3404 MD
Family Psychologist 103TF0000X 3404 MD

Addresses

Primary practice location

10605 Concord St
Suite 100
Kensington, MD 20895-2504

Mailing address

10605 Concord St
Suite 100
Kensington, MD 20895-2504
Phone (301) 946-2926

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

LicenseStateTypeSpecialty
3404MDMDClinical Child & Adolescent Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1861669442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10605 CONCORD ST",
            "address_2": "SUITE 100",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952504",
            "telephone_number": "301-946-2926",
            "fax_number": "301-962-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10605 CONCORD ST",
            "address_2": "SUITE 100",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952504",
            "telephone_number": "301-946-2926",
            "fax_number": "301-962-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "CHERYL",
        "middle_name": "COLE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "3404",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MD",
            "license": "3404",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "MD",
            "license": "3404",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.