ROBERT HOLLOWAY III (NPI# 1215556675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215556675 |
| Entity Type | Individual |
| Full Name | ROBERT HOLLOWAY III |
| Credential | MA |
| Practice Address |
500 Victory Rd Quincy MA 02171-3139 |
| Mailing Address |
256 Market St Apt 1 Brighton MA 02135-2171 |
| Practice Telephone | 6178471902 |
| Mailing Telephone | 6618776612 |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538345129 | Robert Holloway | Emergency Medical Technician, Intermediate | Exit 102 Off I - 40 1/2 Mi South, San Fidel, NM 87049-0130 | 2008-01-14 |
| 1316025554 | Robert F Holloway | Family Medicine | 935 Green Briar Hills Dr, O Fallon, MO 63366-5596 | 2006-11-02 |
| 1225145550 | Robert Lee Holloway | Dentist | 1104 Conner St, Noblesville, IN 46060-2808 | 2006-08-23 |
| 1740548445 | Robert Holloway | Counselor | 1517 Durham Rd, Penndel, PA 19047-5707 | 2012-05-01 |
| 1457488587 | Robert Patrick Holloway | Psychiatry & Neurology | 566 S San Vicente Blvd, Suite 201, Los Angeles, CA 90048-4650 | 2007-02-27 |
| 1093877383 | Robert A Holloway Jr. | Ophthalmology | 4848 North Blvd, Baton Rouge, LA 70806-4019 | 2006-12-14 |
| 1205916889 | Robert Stephen Holloway IIi | Psychologist | 25 Burncoat St, 25 Burncoat St., Worcester, MA 01605-1800 | 2006-10-17 |
| 1376630293 | Robert John Holloway | Internal Medicine | 227 Mountain Dr, Dahlonega, GA 30533-1606 | 2006-10-10 |
| 1336171727 | Robert G Holloway Jr. | Psychiatry & Neurology | 601 Elmwood Ave, Rochester, NY 14642-0001 | 2006-07-07 |
| 1538109137 | Robert W Holloway | Obstetrics & Gynecology | 2501 N Orange Ave, Suite 800, Orlando, FL 32804-4603 | 2006-06-08 |
| Street Address |
500 VICTORY RD |
| City | QUINCY |
| State | MA |
| Zip Code | 02171-3139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265462477 | Ajita Purohit | Social Worker | 500 Victory Rd, Bayview Associates, Quincy, MA 02171-3139 | 2006-07-04 |
| 1265030191 | Benjamin Miele | Counselor | 500 Victory Rd, Quincy, MA 02171-3139 | 2020-10-13 |
| 1447861364 | Juliana Lee Willey | Counselor | 500 Victory Rd, Quincy, MA 02171-3139 | 2020-08-13 |
| 1437760725 | John Francis Mannion | Registered Nurse | 500 Victory Rd, Quincy, MA 02171-3139 | 2020-08-11 |
| 1306456488 | Abigail R Hennigan | Music Therapist | 500 Victory Rd, Quincy, MA 02171-3139 | 2020-08-04 |
| 1225647191 | Delaney Elaine Hauck | Social Worker | 500 Victory Rd, Quincy, MA 02171-3139 | 2020-07-27 |
| 1760007090 | Lorain Clair Baeumler | Registered Nurse | 500 Victory Rd, Quincy, MA 02171-3139 | 2020-06-12 |
| 1346865052 | Kyle Christopher Leonard | Counselor | 500 Victory Rd, Quincy, MA 02171-3139 | 2020-06-09 |
| 1649895400 | Jessica Anderson | Counselor | 500 Victory Rd, Quincy, MA 02171-3139 | 2020-06-08 |
| 1669094884 | Lisa Lopes | Counselor | 500 Victory Rd, Quincy, MA 02171-3139 | 2020-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730661190 | Yvonne Ann Roth | Social Worker | 1 Enterprise Drive, Quincy, MA 02171 | 2018-09-03 |
| 1902397631 | Kristen Spain | Registered Nurse | 110 West Squantum St., North Quincy, MA 02171 | 2018-05-29 |
| 1760984777 | Oumaima Mansouri | Counselor | 110 West Squantum Street, Quincy, MA 02171 | 2018-03-06 |
| 1386163699 | Sophonie Belizaire | Assistant Behavior Analyst | South Shore Mental Health, 500 Victory Rd., Quincy, MA 02171 | 2017-09-18 |
| 1306209168 | Katherine R Standish | Family Medicine | 110 W Squantum St Ste 8, North Quincy, MA 02171 | 2016-03-30 |
| 1669852778 | Joseph Odom | Counselor | 43 Old Colony Road, Quincy, MA 02171 | 2015-06-03 |
| 1578825436 | Hoi Yuk Pang | Counselor | 1 Billings Rd, Quincy, MA 02171 | 2012-06-15 |
| 1275862526 | Naeemah Tahira Smith | Counselor | 210a Quincy Shore Dr, Quincy, MA 02171 | 2009-12-16 |
| 1386876779 | Mark Everds | Counselor | 97 Holmes Street, 2nd Floor, North Quincy, MA 02171 | 2009-08-18 |
| 1306014741 | Ping-chiu Chan | Acupuncturist | Chinese Medical Center, 38 Billings Road, Quincy, MA 02171 | 2008-02-20 |
| Find all providers in zip 02171 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033292479 | Michael W Barclay | Psychologist | 417 1st St, Quincy, CA 95971 | 2006-10-21 |
| 1164553210 | Susan Elaine D'esposito | Psychologist | 859 Willard St, Quincy, MA 02169-7482 | 2007-03-08 |
| 1417061730 | Susan Rue Wilson | Psychologist | 460 Quincy Ave, Quincy, MA 02169-8130 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518575786 | Eavan Miles-mason, Phd, LLC | Psychologist | 319 Peakham Rd, Sudbury, MA 01776-2757 | 2020-07-14 |
| 1184247132 | Lauren R Blakely | Psychologist | 96 Fairbanks Ave, Wellesley, MA 02481-5256 | 2020-05-26 |
| 1881220986 | Katharine Dunson Oconnell | Psychologist | 144 Forest St, Wellesley Hills, MA 02481-6832 | 2020-03-20 |
| 1710457577 | Karla Lizbet Rivas | Psychologist | 44 Mansfield St, Allston, MA 02134 | 2018-12-04 |
| 1497230684 | Marisa Katherine Glynn | Psychologist | 35 Edgar Avenue, Somerville, MA 02145 | 2018-10-03 |
| 1043706419 | Jessica Shepley | Psychologist | 72 Fox Hill Rd, Bernardston, MA 01337-9586 | 2018-07-09 |
| 1548755176 | Elizabeth F Clark | Psychologist | 16 Gleasondale Rd, Stow, MA 01775-1465 | 2018-06-26 |
| 1528552619 | Heather Duckworth Smith | Psychologist | 5 Seal Cove Ln, Hingham, MA 02043-1050 | 2018-06-21 |
| 1467946251 | Olivia Moorehead-slaughter | Psychologist | 171 Goddard Ave, Brookline, MA 02445-7412 | 2018-06-15 |
| 1710479522 | David Arnold | Psychologist | 35 Hop Brook Rd, Amherst, MA 01002-2771 | 2018-06-06 |
| Find all providers with the same taxonomy | ||||
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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.