NPIMap

Organization Active NPI

Dr Heather Holleman LLC

  • Clinical Psychologist
  • South Bend, IN
National Provider Identifier
1942999636
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DR HEATHER HOLLEMAN LLC
Practice address
3220 E Jefferson Blvd
South Bend, IN 46615-3028
Phone
(574) 222-2466
Fax
(574) 222-2468
NPI assigned
May 8, 2023
Last updated
May 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Authorized official

Name
Dr. Heather Holleman, PHD, HSPPNPI 1285947770
Title
Psychologist
Phone
(574) 222-2466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

3220 E Jefferson Blvd
South Bend, IN 46615-3028

Mailing address

18340 Roosevelt Rd
South Bend, IN 46614-9485
Phone (574) 222-2466

National Provider Directory

National Provider Directory

Locations

3220 E Jefferson Blvd
South Bend, IN 46615
Phone (574) 222-2466

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1942999636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18340 ROOSEVELT RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466149485",
            "telephone_number": "574-222-2466",
            "fax_number": "574-222-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 E JEFFERSON BLVD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466153028",
            "telephone_number": "574-222-2466",
            "fax_number": "574-222-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR HEATHER HOLLEMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "HOLLEMAN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "574-222-2466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, HSPP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.