DR. JESSICA S HOLM


Address: 8140 Ashton Ave, Suite 200, Manassas, VA 20109-5698
Phone: 7132524647

DR. JESSICA S HOLM (NPI# 1235598186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235598186
Entity Type Individual
Full Name DR. JESSICA S HOLM
Credential PSY.D.
Practice Address 8140 Ashton Ave
Suite 200
Manassas
VA 20109-5698
Mailing Address 15400 Snowhill Ln
Centreville
VA 20120-1147
Practice Telephone 7132524647
Mailing Telephone 7132524647
Enumeration Date 2016-02-21
Last Update Date 2016-02-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 0810005389 VA Behavioral Health & Social Service Providers

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1003292715 Jessica Holm Counselor 1424 Corrara Dr, Rockwall, TX 75032-7538 2015-08-04
1508018672 Jessica Dianne Theorin Holm Advanced Practice Midwife 45 Snelling Ave N, Saint Paul, MN 55104-6842 2008-10-21

Office Location

Street Address 8140 ASHTON AVE
SUITE 200
City MANASSAS
State VA
Zip Code 20109-5698

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760462071 James Michael Lynch Psychologist 8140 Ashton Ave, Ste 100, Manassas, VA 20109-5698 2006-01-20
1053886937 Melanie Corum Psychologist 8140 Ashton Ave, Manassas, VA 20109-5698 2018-10-08
1578073821 Jordan Wilson Psychologist 8140 Ashton Ave, Suite 200, Manassas, VA 20109 2017-10-01
1699212126 Neuropsychology of Northern Virginia Psychologist 8140 Ashton Ave, Suite 100, Manassas, VA 20109-5698 2017-01-23
1114479318 April Lynn Thompson Social Worker 8140 Ashton Ave, Suite 200, Manassas, VA 20109-5698 2016-11-04
1972961837 Megan Lyons Strause Psychologist 8140 Ashton Ave, Suite 200, Manassas, VA 20109-5698 2016-02-08
1386046340 Adrienne Mcdonald Counselor 8140 Ashton Ave, Suite 200, Manassas, VA 20109-5698 2014-09-22
1396163218 Naoji Andrew Watson Psychologist 8140 Ashton Ave, Suite 200, Manassas, VA 20109-5698 2014-03-29
1831520717 Carol Mccleary Psychologist 8140 Ashton Ave, Suite 200, Manassas, VA 20109-5698 2013-12-03
1891128799 Alicia K Janik Psychologist 8140 Ashton Ave, 200, Manassas, VA 20109-5698 2013-08-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275151854 Laura Zabel Social Worker 10220 Launch Circle #103, Manassas, VA 20109 2020-07-09
1659910677 Leigh Cristi Babin-adkins Registered Nurse 10550 Linden Lake Plazza, Manassas, VA 20109 2019-12-23
1326686221 Sophie Louise Elliot Speech-Language Pathologist 10550 Linden Lake Plaza Suite 100, Manassas, VA 20109 2019-12-11
1962978221 Dominique Marie Cytryn Behavior Technician Family Insight, P.C., 7730 Donegan Dr, Manassas, VA 20109 2018-10-15
1255829008 Lyusyena Teper Physical Therapist 11662 Sudley Manor Dr Ste 50-b, Manassas, VA 20109 2018-04-27
1861995060 Mylisa L Ickes Counselor 7982 Donegan Drive, Manassas, VA 20109 2018-03-14
1336641885 Stephanie Joanne Gamboa Behavior Technician 1037 Battleview Pkwy, Manassas, VA 20109 2018-03-01
1154822237 Katherine Sholl Behavior Technician 10370 Battleview Parkway, Manassas, VA 20109 2018-02-23
1386168615 Northern Virginia Checker Cab LLC Taxi 7631 Coppermine Dr, Manassas, VA 20109 2017-07-28
1407383201 Monique Lowery Social Worker 7403 Emerald Dr., Manassas, VA 20109 2017-05-11
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215583190 Mandi Eggenberger Quay Psychologist 9256 Mosby St Ste 202, Manassas, VA 20110-5078 2019-08-15
1194856484 Toni L. Mcmillan Psychologist 6202 Ramblewood Trl, Manassas, VA 20112-3023 2007-03-08
1720117781 Jami Temple Psychologist 8805 Sudley Rd Ste 205, Manassas, VA 20110-4740 2007-03-05
1760462071 James Michael Lynch Psychologist 8140 Ashton Ave, Ste 100, Manassas, VA 20109-5698 2006-01-20
1205816139 Ilona Nora Gravers Psychologist 8700 Centreville Rd, Ste 410, Manassas, VA 20110-8430 2006-01-18
1518950856 William Plaxco Psychologist 8680 Hospital Way, Manassas, VA 20110-4287 2005-08-23
1770029944 Karen Deabbe Bagley Psychologist 8644 Sudley Rd Ste 315, Manassas, VA 20110-4425 2017-01-12
1275992661 Valerie Needham Psychologist 9274 Corporate Cir, Manassas, VA 20110-4153 2016-02-15
1972961837 Megan Lyons Strause Psychologist 8140 Ashton Ave, Suite 200, Manassas, VA 20109-5698 2016-02-08
1659770774 Nmg Affiliate Practice I, LLC Psychologist 8680 Hospital Way, Manassas, VA 20110-4287 2014-08-14
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Competitor

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City MANASSAS
Zip Code 20109

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Dataset Information

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.

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