DR. HEATHER HOLLEMAN (NPI# 1285947770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285947770 |
| Entity Type | Individual |
| Full Name | DR. HEATHER HOLLEMAN |
| Credential | PH.D., HSPP |
| Practice Address |
3220 E Jefferson Blvd South Bend IN 46615-3028 |
| Practice Telephone | (574) 339-4832 |
| Practice Fax Number | 5742222468 |
| Mailing Telephone | 5743394832 |
| Mailing Fax Number | 5742222468 |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2019-03-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
20042587A | IN | Behavioral Health & Social Service Providers |
| Street Address |
3220 E JEFFERSON BLVD |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46615-3028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700090677 | Jennifer S. Knapp | Psychiatry & Neurology | 3220 E Jefferson Blvd, South Bend, IN 46615-3028 | 2007-05-10 |
| 1366073413 | Britany Mahaffa | Counselor | 3220 E Jefferson Blvd, South Bend, IN 46615-3028 | 2020-01-28 |
| 1639664139 | Brittany Michelle Katz | Counselor | 3220 E Jefferson Blvd, South Bend, IN 46615-3028 | 2018-06-27 |
| 1780862532 | Jessica A Kindig | Counselor | 3220 E Jefferson Blvd, South Bend, IN 46615-3028 | 2008-02-04 |
| 1639358161 | Kimberly Sue Wasoski | Counselor | 3220 E Jefferson Blvd, South Bend, IN 46615-3028 | 2007-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679954804 | Healthlinc, Inc. | Clinic/Center | 1002 S Esther St, South Bend, IN 46615 | 2015-06-12 |
| 1861897688 | Michelle Jean Streb | Registered Nurse | 1960 Northside Boulevard, South Bend, IN 46615 | 2014-10-23 |
| 1275848962 | Charles Mikel Craig | Optometrist | 220 N. Ironwood Dr., South Bend, IN 46615 | 2010-08-18 |
| 1710219613 | Debra Vasquez | Occupational Therapy Assistant | 1950 Ridgedaleroad, South Bend, IN 46615 | 2010-02-03 |
| 1114259132 | Christopher Joseph Smith | Physical Therapist | 1005 Hickory Rd, South Bend, IN 46615 | 2010-02-01 |
| 1295064525 | Starlight Care Facilities, Inc | Skilled Nursing Facility | 915 So. 27th Street, South Bend, IN 46615 | 2009-12-16 |
| 1699002642 | Ann G Pryor | Contractor | 1516 E. Wayne St., South Bend, IN 46615 | 2009-11-12 |
| 1891917449 | Logan Community Resources, Inc. | Community/Behavioral Health | 2505 E. Jefferson Blvd, South Bend, IN 46615 | 2007-05-03 |
| 1487712683 | Julie Gaydos Plagens | Dentist | 604 South Eddy St, South Bend, IN 46615 | 2006-12-04 |
| 1629163084 | Edward F Klodzinski | Counselor | 3603 E. Jefferson Blvd., South Bend, IN 46615 | 2006-10-03 |
| Find all providers in zip 46615 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346697000 | Alexandra Filia Corning | Psychologist | 1251 N. Eddy Street, Suite 200, South Bend, IN 46530-6258 | 2016-05-23 |
| 1629222088 | Suzanne Courtney | Psychologist | 129 Franklin Pl, South Bend, IN 46601-1543 | 2008-11-12 |
| 1518111996 | Jacqueline Mary Quinn-tan | Psychologist | 1000 S Michigan St, South Bend, IN 46601-3426 | 2008-11-11 |
| 1942487483 | David A Smith | Psychologist | 1251 N Eddy St Ste 200, South Bend, IN 46617-1478 | 2008-01-28 |
| 1972727949 | Susan Steibe-pasalich | Psychologist | 201 N Ironwood Dr, South Bend, IN 46615-2517 | 2007-04-12 |
| 1952452534 | Diane Johnson Prosser | Psychologist | 227 N Dixie Way Ste 110, South Bend, IN 46637-3366 | 2007-01-12 |
| 1053476697 | Barbara S Searle | Psychologist | 3603 E Jefferson Blvd, Suiteb, South Bend, IN 46615-3035 | 2006-12-26 |
| 1629144043 | Michael Owen Reed | Psychologist | 220 W Colfax Ave, Ste 400, South Bend, IN 46601-1635 | 2006-11-28 |
| 1902984958 | James F Brogle | Psychologist | 828 E Colfax Ave, South Bend, IN 46617-2804 | 2006-11-01 |
| 1518055565 | Michael Robert Sheehan | Psychologist | 1230 Hillcrest Rd, South Bend, IN 46617-1169 | 2006-10-11 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46615 |
Please comment or provide details below to improve the information on DR. HEATHER HOLLEMAN.
| 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.