Judith a. Holmes, PHD., P.C.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

071004106 Issued in IL

Legal business name

JUDITH A. HOLMES, PHD., P.C.

Practice address

1440 Renaissance Drive
Suite 200
Park Ridge, IL 60068

Phone

(847) 296-3442

Fax

(847) 296-3543

NPI assigned

Oct 3, 2006

Last updated

Aug 16, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Judith A. Holmes, PH.D.NPI 1013047018

Title

President

Phone

(847) 296-3442

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Judith A Holmes, PHD

  • Clinical Neuropsychologist
  • Park Ridge, IL
  • NPI 1013047018
  Authorized official Same address or phone

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1962596023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 RENAISSANCE DRIVE",
            "address_2": "SUITE 200",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "60068",
            "telephone_number": "847-296-3442",
            "fax_number": "847-296-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 RENAISSANCE DRIVE",
            "address_2": "SUITE 200",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "60068",
            "telephone_number": "847-296-3442",
            "fax_number": "847-296-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH A. HOLMES, PHD., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-296-3442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071004106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tomasz Jurczak, LPC
• Oleksandr Kachanov, M.D.
• Shawn Ashley Kacker, DO

• Clinical Neuropsychologist in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Clinical Neuropsychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.