Active NPI
Lois B Holloway, M.S.
- Clinical Psychologist
- Weston, WV
National Provider Identifier
1912915794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 661
- Practice address
- 936 Sharpe Hospital Rd
Weston, WV 26452-8550 - Phone
- (304) 269-1210
- Fax
- (304) 269-0457
- NPI assigned
- Aug 4, 2006
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 661 | WV | Primary |
Addresses
Primary practice location
936 Sharpe Hospital Rd
Weston, WV 26452-8550
Mailing address
936 Sharpe Hospital Rd
Weston, WV 26452-8550
Phone (304) 269-1210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0164967000 | Medicaid | WV |
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 661 | WV | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1912915794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "936 SHARPE HOSPITAL RD",
"city": "WESTON",
"state": "WV",
"postal_code": "264528550",
"telephone_number": "304-269-1210",
"fax_number": "304-269-0457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "936 SHARPE HOSPITAL RD",
"city": "WESTON",
"state": "WV",
"postal_code": "264528550",
"telephone_number": "304-269-1210",
"fax_number": "304-269-0457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLOWAY",
"first_name": "LOIS",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WV",
"license": "661",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0164967000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Weston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.