DOROTHY LYNN HOLIDY (NPI# 1326680794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326680794 |
| Entity Type | Individual |
| Full Name | DOROTHY LYNN HOLIDY |
| Practice Address |
1116 Alice St Modesto CA 95350-5905 |
| Mailing Address |
1100 Kansas Ave Modesto CA 95351-1596 |
| Practice Telephone | 2095783132 |
| Mailing Telephone | 2095791151 |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2019-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
1116 ALICE ST |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-5905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033328943 | Cathy Lynn Gentry | Counselor | 1116 Alice St, Modesto, CA 95350-5905 | 2007-05-21 |
| 1356980361 | Sarah Godfrey | Counselor | 1116 Alice St, Modesto, CA 95350-5905 | 2019-12-23 |
| 1831731157 | Lori Anne Stolze | Counselor | 1116 Alice St, Modesto, CA 95350-5905 | 2019-10-09 |
| 1073155396 | Dolores V Garcia | Counselor | 1116 Alice St, Modesto, CA 95350-5905 | 2019-10-09 |
| 1497211296 | Crystal Dee Thedford | Counselor | 1116 Alice St, Modesto, CA 95350-5905 | 2019-02-16 |
| 1467918318 | Lori Shanel Williams | Counselor | 1116 Alice St, Modesto, CA 95350-5905 | 2019-02-15 |
| 1033675996 | Roseann Reynoso | Counselor | 1116 Alice St, Modesto, CA 95350-5905 | 2019-02-15 |
| 1639539661 | Nirvana Drug and Alcohol Treatment Institute | Substance Abuse Rehabilitation Facility | 1116 Alice St, Modesto, CA 95350-5905 | 2016-03-03 |
| 1649474164 | Holly Diaz-bach | Counselor | 1116 Alice St, Modesto, CA 95350-5905 | 2007-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
| 1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| Find all providers in zip 95350 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376007476 | Lags Spine and Sportscare Medical Centers, Inc. | Psychologist | 803 Coffee Rd Ste 11, Modesto, CA 95355-4244 | 2019-01-23 |
| 1265906499 | Lags Spine and Sportscare Medical Centers, Inc. | Psychologist | 1317 Oakdale Rd Ste 800, Modesto, CA 95355-3366 | 2019-01-22 |
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| 1881293199 | Corinne Guerrero | Psychologist | 4820 Melrose Ave, Oakland, CA 94601-5346 | 2020-10-19 |
| 1326661331 | Dr Susan Shapiro Psychologist, Inc | Psychologist | 1647 S Hayworth Ave, Los Angeles, CA 90035-4513 | 2020-05-26 |
| 1326669011 | Northstar Detox & Rehab Center, LLC | Psychologist | 19500 Winifred St, Tarzana, CA 91356-3815 | 2020-05-04 |
| 1548891443 | Catalyst Recovery LLC | Psychologist | 10250 Constellation Blvd Ste 100, Los Angeles, CA 90067-6272 | 2020-01-29 |
| 1932765336 | Mischka Psychological PC | Psychologist | 4468 Phelan Rd, Phelan, CA 92371-4098 | 2019-05-13 |
| 1851955181 | Matthew Taylor | Psychologist | 27645 E Trail Ridge Way Apt 1007, Moreno Valley, CA 92555-3122 | 2019-04-23 |
| 1790249894 | Lags Spine and Sportscare Medical Centers, Inc. | Psychologist | 3751 E Shields Avenue, Fresno, CA 93726 | 2019-01-23 |
| 1639640766 | Lidia Janette Aguilar | Psychologist | 4958 Gabrielieno Ave, Oceanside, CA 92057-4434 | 2018-12-16 |
| 1215428230 | Chances Counseling Centers LLC | Psychologist | 2727 N Bristol St, Santa Ana, CA 92706 | 2018-05-24 |
| 1295253953 | Raphael Gidharry Johnson | Psychologist | 1753 N. Country Ln., Pasadena, CA 91107-1104 | 2017-09-01 |
| 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.