Holtz Psychological Services, PC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

010194-1 Issued in NY

Legal business name

HOLTZ PSYCHOLOGICAL SERVICES, PC

Practice address

20 Broadhollow Rd
Suite 2004
Melville, NY 11747-2501

Phone

(631) 427-6669

Fax

(631) 427-6669

NPI assigned

Oct 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Fred L. Holtz, PH.D.NPI 1629175039

Title

President

Phone

(631) 427-6669

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fred L Holtz, PH.D.

  • Psychologist
  • Plainview, NY
  • NPI 1629175039
  NPD (past) Authorized official
• Adria M Gerber, PSY.D.

  • Clinical Psychologist
  • Commack, NY
  • NPI 1871832972
  NPD (past)
• Monique Griffith

  • Psychologist
  • Manalapan, NJ
  • NPI 1154660439
  NPD (past)

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1871781401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117470742",
            "telephone_number": "631-427-6669",
            "fax_number": "631-427-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 BROADHOLLOW RD",
            "address_2": "SUITE 2004",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117472501",
            "telephone_number": "631-427-6669",
            "fax_number": "631-427-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLTZ PSYCHOLOGICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "HOLTZ",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-427-6669",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NY",
            "license": "010194-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genna S Hirschhorn, M.A. CCC-SLP, TSSLD
• His and Hers Cleaning Solutions LLC
• Deanna Marie Holbrook
• Alvin Dennis Holcomb, M.D.
• Joanna Marie Holm, LMSW
• Anthony Honnold
• Hope & Resilience LLC
• Hope Internal Medicine Services PLLC
• Syeda Antara Hoque
• Shannon Elizabeth Horan

• Psychologist in Melville, NY
• Providers in Melville, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.