PATRICIA B HOLLIDAY (NPI# 1396779724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396779724 |
| Entity Type | Individual |
| Full Name | PATRICIA B HOLLIDAY |
| Other Name | PATRICIA BOYE |
| Credential | PH.D. |
| Practice Address |
248 E Capitol St 840 Trust Mark Bldg Jackson MS 39201-2503 |
| Mailing Address |
104 Cedar Ridge Rd Mccomb MS 39648-2100 |
| Practice Telephone | 8006326074 |
| Practice Fax Number | 8663417509 |
| Mailing Telephone | 6016480506 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2012-11-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
46748 | MS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 06476266 | 05 | |
| MS | RR MCARE W PARADIGM | P00364890 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861532384 | Patricia Jo Holliday | Social Worker | 2020 E Grand River, Livingston County Catholic Social Services, Howell, MI 48843 | 2007-02-07 |
| Street Address |
248 E CAPITOL ST 840 TRUST MARK BLDG |
| City | JACKSON |
| State | MS |
| Zip Code | 39201-2503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437151636 | Romona Broussard Mayeux | Nurse Practitioner | 248 E Capitol St, Room 105, Jackson, MS 39201-2503 | 2005-06-01 |
| 1922325653 | Angela T Haydel | Social Worker | 248 E Capitol St, 840 Trust Mark Bldg, Jackson, MS 39201-2503 | 2010-04-20 |
| 1215252044 | B Denise Brown-rouse | Social Worker | 248 E Capitol St, 840 Trust Mark Bldg, Jackson, MS 39201-2503 | 2010-04-05 |
| 1538307145 | Tanya M Edwards | Social Worker | 248 E Capitol St, Jackson, MS 39201-2503 | 2009-02-04 |
| 1194976779 | Thomas N Elliott | Psychologist | 248 E Capitol St, 840 Trust Mark Bldg, Jackson, MS 39201-2503 | 2008-10-01 |
| 1497928683 | Qmh LLC | Counselor | 248 E Capitol St, Jackson, MS 39201-2503 | 2008-04-08 |
| 1841497666 | Mary A Cathey | Social Worker | 248 E Capitol St, 840 Trust Mark Bldg, Jackson, MS 39201-2503 | 2007-06-27 |
| 1245440288 | Vanessa D Cox | Social Worker | 248 E Capitol St, 840 Trust Mark Bldg, Jackson, MS 39201-2503 | 2007-05-22 |
| 1407074115 | Henry E Goodman | Social Worker | 248 E Capitol St, 840 Trust Mark Bldg, Jackson, MS 39201-2503 | 2007-04-20 |
| 1992822159 | Leah Headings | Social Worker | 248 E Capitol St, 840 Trust Mark Bldg, Jackson, MS 39201-2503 | 2007-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962836874 | Tanericha Lashay Anderson | In Home Supportive Care | 3200 Jackson St, Jackson, MS 39201 | 2013-08-27 |
| 1871617423 | Karen White Jones | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2007-03-19 |
| 1912520768 | James Charles Haycraft | Marriage & Family Therapist | 431 N State St, Jackson, MS 39201-1108 | 2020-05-27 |
| 1548758832 | Lisa Allegrezza Sorey | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2018-04-23 |
| 1609287531 | William Mcneese Jr. | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2014-05-13 |
| 1902217805 | Laurel Boyd | Counselor | 431 N State St, Summit Counseling, Jackson, MS 39201-1108 | 2014-05-13 |
| 1134424450 | Ronald Gene Mumbower | Psychologist | 431 N State St, Jackson, MS 39201-1108 | 2011-01-18 |
| 1427350453 | Donald E. Waller | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2010-11-23 |
| 1285935932 | Summit Counseling | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2010-11-11 |
| 1184938060 | Lee Smith | Counselor | 431 N State St, Jackson, MS 39201-1108 | 2010-08-03 |
| Find all providers in zip 39201 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043756174 | Maribeth L. Hesser | Psychologist | 6675 N Upper Cascade Dr, Jackson, WY 83001-9390 | 2017-01-12 |
| 1215375746 | Payne Behavioral Medicine | Psychologist | 4005 N State St Ste N, Jackson, MS 39206-5755 | 2013-06-06 |
| 1598002610 | Kimberly D Weaver | Psychologist | 207 First Street, Jackson, MI 49201 | 2013-01-09 |
| 1497027775 | Fitness Clinic | Psychologist | 2219 Greenway Dr, Jackson, MS 39204-3202 | 2012-02-02 |
| 1760752976 | Mitchell S. Weisbrod, Psy.d., Pllc | Psychologist | 115 S West Ave Ste 1, Jackson, MI 49201-2085 | 2012-01-04 |
| 1275830887 | Martin E Cleveland Phd Pllc | Psychologist | 5 Brentmeade Cv, Jackson, TN 38305-6448 | 2011-02-16 |
| 1154636611 | Shannon Monique Moore | Psychologist | 1675 Lakeland Dr Ste 304, Jackson, MS 39216 | 2010-08-09 |
| 1598076903 | Nanetta S Payne | Psychologist | 4005 N State St, Suite N, Jackson, MS 39206-5755 | 2010-06-30 |
| 1932422763 | Marion Counseling Services, Pllc | Psychologist | 2095 Dunbarton Dr, Suite 103, Jackson, MS 39216-5017 | 2010-03-08 |
| 1457548737 | Deborah Ruddy Hansen | Psychologist | 6 Universal Way, Jackson, MI 49202-1455 | 2007-10-01 |
| Find all providers in JACKSON | ||||
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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.