Individual provider Active NPI

Maggie Katherine Holland, PSY.D.

  • Clinical Psychologist
  • Cincinnati, OH
National Provider Identifier
1922489228
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P.08611 Issued in OH
Practice address
601 Ivy Gtwy Ste 2100
Cincinnati, OH 45245-2052
Phone
(513) 752-8000
Fax
(513) 752-1078
NPI assigned
Jun 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X P3429 TN
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Psychologist 103TC0700X P.08611 OH Primary

Addresses

Primary practice location

601 Ivy Gtwy Ste 2100
Cincinnati, OH 45245-2052

Mailing address

601 Ivy Gtwy Ste 2100
Cincinnati, OH 45245-2052
Phone (513) 752-8000

Other practice location 1

255 E Watt St
Alcoa, TN 37701-2236
Phone (865) 273-1616

Other names 1

  • Maggie Katherine Monk Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171227002429 TN Practitioner - Clinical Psychologist 2466710223 Reassigns benefits to 1 organization
I20240503000943 OH Practitioner - Clinical Psychologist 2466710223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Cincinnati Specialty Care LLCGroup PAC ID 3971907759, 343 clinicians

Practice addresses (Care Compare)

601 Ivy Gtwy
Suite 2100
Cincinnati, OH 45245-2052
Phone (513) 686-5392

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P3429TNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Apr 21, 2024 Accepting new patients
Mercy Health Physicians Cincinnati Specialty Care LLC CurrentSince Apr 21, 2024 Accepting new patients
Cherokee Health Systems CurrentSince Sep 23, 2017 Accepting new patients
Cherokee Health Systems CurrentSince Sep 23, 2017 Accepting new patients
Denise M. Stillman, PHD., PC Clinical PastSince Nov 5, 2020 Accepting new patients

Locations

601 Ivy Gtwy
Ste 2100
Cincinnati, OH 45245
Phone (513) 216-1263

1701 Mercy Health Pl
Cincinnati, OH 45237
Phone (513) 952-5000

201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100

255 E Watt St
Alcoa, TN 37701
Phone (865) 273-1616

1285 Highway 11W
Bean Station, TN 37708
Phone (865) 993-4300

1923 Sulphur Springs Rd
Morristown, TN 37813

6350 W Andrew Johnson Hwy
#100
Talbott, TN 37877
Phone (423) 586-5031

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1922489228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 IVY GTWY STE 2100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452452052",
            "telephone_number": "513-752-8000",
            "fax_number": "513-752-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 IVY GTWY STE 2100",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452452052",
            "telephone_number": "513-752-8000",
            "fax_number": "513-752-1078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 E Watt St",
            "address_purpose": "LOCATION",
            "city": "Alcoa",
            "state": "TN",
            "postal_code": "377012236",
            "country_code": "US",
            "telephone_number": "865-273-1616",
            "fax_number": "865-273-1645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "MAGGIE",
        "middle_name": "KATHERINE",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P3429",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "P.08611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAGGIE",
            "last_name": "MONK",
            "middle_name": "KATHERINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.