HOLLY MADDY, LLC (NPI# 1154586394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154586394 |
| Entity Type | Organization |
| Organization Name | HOLLY MADDY, LLC |
| Practice Address |
328 Thomas More Pkwy Unit 102 Crestview Hills KY 41017-3488 |
| Practice Telephone | 8594316333 |
| Mailing Telephone | 8594316333 |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2011-06-29 |
| Authorized Official Name | HOLLY ANN MADDY (OWNER) |
| Authorized Official Telephone | 8594316333 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 1638 | KY | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 82001017 | 05 |
| Street Address |
328 THOMAS MORE PKWY UNIT 102 |
| City | CRESTVIEW HILLS |
| State | KY |
| Zip Code | 41017-3488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962407122 | Shauna M Sybert | Physical Therapist | 328 Thomas More Pkwy, Crestview Hills, KY 41017-3488 | 2005-06-15 |
| 1700247939 | Elizabeth Ann Murdock | Physical Therapist | 328 Thomas More Pkwy, Crestview Hills, KY 41017-3488 | 2016-03-16 |
| 1902275654 | Mercy Health Physicians Cincinnati LLC | Durable Medical Equipment & Medical Supplies | 328 Thomas More Pkwy, Crestview Hills, KY 41017-3488 | 2015-09-23 |
| 1144616459 | John Ryan Mahoney | Orthopaedic Surgery | 328 Thomas More Pkwy, Crestview Hills, KY 41017-3488 | 2015-04-13 |
| 1174868343 | Susan S. Gurley | Physical Therapist | 328 Thomas More Pkwy, Crestview Hills, KY 41017-3488 | 2012-11-29 |
| 1710233614 | Polly Ann Muehlenkamp | Physical Therapist | 328 Thomas More Pkwy, Crestview Hills, KY 41017-3488 | 2012-07-28 |
| 1992050025 | Jared Edward Henderson | Physical Therapist | 328 Thomas More Pkwy, Crestview Hills, KY 41017-3488 | 2012-07-15 |
| 1871726844 | Elizabeth Butcher | Physical Therapist | 328 Thomas More Pkwy, Crestview Hills, KY 41017-3488 | 2009-08-25 |
| 1538198338 | Cincinnati Sportsmedicine and Orthopaedic Center, Inc. | Specialist | 328 Thomas More Pkwy, Crestview Hills, KY 41017-3488 | 2006-07-02 |
| 1497794614 | Michael J Piscitello | Physical Therapist | 328 Thomas More Pkwy, Crestview Hills, KY 41017-3488 | 2006-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
| 1366084337 | St. Elizabeth Medical Center, Inc. | Pharmacy | 850 Thomas More Parkway, Edgewood, KY 41017 | 2019-10-11 |
| 1396396750 | Family First Vision Care Kentucky | Optometrist | 614 Buttermilk Pike, Fort Mitchell, KY 41017 | 2019-09-26 |
| 1083184543 | Katie Franconia Smith | Nurse Practitioner | 2865 Chancellor Dr., Crestview Hills, KY 41017 | 2018-11-27 |
| 1871077511 | Janet Reeves Martin | Nurse Practitioner | Infinity Dialysis, 4750 East Galbraith Rd. Suite 103, Cincinnati, OH 41017 | 2018-09-19 |
| 1144713983 | Kelly Wiechart | Dentist | 599 Freedom Park Dr Ste 100, Crestview Hills, KY 41017 | 2018-06-06 |
| 1225535966 | Proscan Radiology Northern Kentucky, LLC | Radiology | 350 Thomas More Pkwy Ste 170, Crestview Hills, KY 41017 | 2018-04-10 |
| 1396241626 | Tressa S. Leahy | Physical Therapist | 200 Medical Village Drive, Edgewood, KY 41017 | 2018-04-04 |
| 1699294470 | Raymond Gardinier | Physical Therapist | 3755 Old Ky 17, Fort Wright, KY 41017 | 2017-09-13 |
| 1992229785 | Adrienne Bussard | Physician Assistant | 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017 | 2017-08-02 |
| Find all providers in zip 41017 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649542 | Vivaria Counseling, Plc | Community/Behavioral Health | 3602 Kahlert Ave, Louisville, KY 40215-1815 | 2020-11-04 |
| 1386245637 | J&j Housing | Community/Behavioral Health | 2923 Wesleyan Park Dr, Owensboro, KY 42301-5477 | 2020-11-03 |
| 1972101368 | Solutions Counseling Center Lllp | Community/Behavioral Health | 12700 Townepark Way Ste 305, Louisville, KY 40243-2543 | 2020-10-16 |
| 1710585088 | Vicki S Ragsdell, Phd Pllc | Community/Behavioral Health | 12004 Log Cabin Ln, Louisville, KY 40223-2218 | 2020-10-09 |
| 1255938411 | Intrinzik Health Care Services | Community/Behavioral Health | 620 Chieftain Dr, Fairdale, KY 40118-9678 | 2020-10-01 |
| 1609483031 | Divine Steps Inc. | Community/Behavioral Health | 3050 W Broadway Ste 1d, Louisville, KY 40211-1475 | 2020-09-29 |
| 1346855590 | First Choice Solution LLC. | Community/Behavioral Health | 285 E Sixth St, Lexington, KY 40508-1564 | 2020-09-14 |
| 1972129591 | Evolved Counseling | Community/Behavioral Health | 8814 Talon Ridge Dr, Louisville, KY 40229-6648 | 2020-06-19 |
| 1770107666 | Interconnected Behavior Essentials Skills Training & Conulting LLC | Community/Behavioral Health | 650 S Highway 27 Ste 5, Somerset, KY 42501-3501 | 2020-06-05 |
| 1497378111 | Alternative Youth Services, Inc. | Community/Behavioral Health | 11218 Professional Park Dr, Louisville, KY 40291-4476 | 2020-05-28 |
| Find all providers with the same taxonomy | ||||
| City | CRESTVIEW HILLS |
| Zip Code | 41017 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.