Holistic Matrix

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

HOLISTIC MATRIX

Practice address

607 W Indiana Ave
Chesterton, IN 46304-2327

Phone

(219) 331-4221

NPI assigned

Oct 2, 2014

Organization subpart

No

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

Authorized official

Name

Amy Vanderlin

Title

Owner

Phone

(219) 331-4221

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1922401041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 W INDIANA AVE",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463042327",
            "telephone_number": "219-331-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 W INDIANA AVE",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463042327",
            "telephone_number": "219-331-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC MATRIX",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "VANDERLIN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-331-4221"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremiah R Hines, PTA
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• Sarah Hiscox, PTA
• Melanie Hlista
• Jonathan Hobbs, M.D.
• Anne Therese Hollingsworth, DO
• Troishell Holman, RBT
• Hook-Superx LLC
• Nathan T Hoover, O.D.
• Jamie Hosfeld

• Counselor in Chesterton, IN
• Providers in Chesterton, IN by specialty
• Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.