Active NPI
James W Holbrook, ED.D.
- Psychologist
- Key West, FL
National Provider Identifier
1952492167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY0003968
- Practice address
- 3706 N Roosevelt Blvd
Suite B
Key West, FL 33040-4566 - Phone
- (305) 294-1277
- Fax
- (305) 294-8927
- NPI assigned
- Sep 27, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY0003968 | FL | Primary |
Addresses
Primary practice location
3706 N Roosevelt Blvd
Suite B
Key West, FL 33040-4566
Mailing address
3706 N Roosevelt Blvd
Suite B
Key West, FL 33040-4566
Phone (305) 294-1277
Other names 1
- Dr. James W Holbrook
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY0003968 | FL | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tim Kelly, LCSW, Psychotherapist, PA | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Key West, FL
- NPI 1457628646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952492167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3706 N ROOSEVELT BLVD",
"address_2": "SUITE B",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330404566",
"telephone_number": "305-294-1277",
"fax_number": "305-294-8927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3706 N ROOSEVELT BLVD",
"address_2": "SUITE B",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330404566",
"telephone_number": "305-294-1277",
"fax_number": "305-294-8927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLBROOK",
"first_name": "JAMES",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY0003968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMES",
"last_name": "HOLBROOK",
"middle_name": "W",
"prefix": "DR.",
"credential": "ED.D",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Key West, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.