Individual provider Active NPI

Silvina Soledad Holasek, MD

  • Child & Adolescent Psychiatry Physician
  • Ukiah, CA
National Provider Identifier
1942404512
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
A106552 Issued in CA
Practice address
206 Mason St Ste F
Ukiah, CA 95482-4494
Phone
(707) 671-7788
Fax
(707) 671-7789
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X A106552 CA Primary

Addresses

Primary practice location

206 Mason St Ste F
Ukiah, CA 95482-4494

Mailing address

2100 Napa Vallejo Hwy
Napa, CA 94558-6293
Phone (707) 253-5000

Other identifiers 1

IdentifierTypeStateIssuer
2804684516OtherMYUTMB 2804684516-COMMERCIAL NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091007000587 CA Practitioner - Psychiatry 1951447895 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
106552CAMDClinical Social Worker
A106552CAMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Napa County CurrentSince Oct 20, 2014 Accepting new patients
County of Napa CurrentSince Oct 20, 2014 Accepting new patients
Comprehensive Psychiatric Services, a Medical Group CurrentSince Mar 13, 2019 Accepting new patients
Department of State Hospitals Current Accepting new patients
Department of State Hospitals CurrentSince Aug 15, 2016 Accepting new patients
Department of State Hospitals CurrentSince Aug 15, 2016 Accepting new patients

Locations

2100 Napa Vallejo Hwy
Napa, CA 94558
Phone (707) 253-5000

2751 Napa Valley Corporate Dr
Napa, CA 94558
Phone (707) 227-3900

1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805

3100 Oak Rd
Ste 270
Walnut Creek, CA 94597
Phone (925) 944-9711

Organizations & group practices 6

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1942404512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 NAPA VALLEJO HWY",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586293",
            "telephone_number": "707-253-5000",
            "fax_number": "707-671-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 MASON ST STE F",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824494",
            "telephone_number": "707-671-7788",
            "fax_number": "707-671-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLASEK",
        "first_name": "SILVINA",
        "middle_name": "SOLEDAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A106552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 2804684516-COMMERCIAL NUMBER",
            "identifier": "2804684516",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ukiah, CA

Sources for this page

Verify at the official NPI Registry.