DR. MALVERN C HOLLAND JR. (NPI# 1730351370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730351370 |
| Entity Type | Individual |
| Full Name | DR. MALVERN C HOLLAND JR. |
| Credential | ED.D. |
| Practice Address |
480 Alta Road R.j. Donovan Correctional Facility San Diego CA 92179-0001 |
| Mailing Address |
Po Box 80132 San Diego CA 92138-0132 |
| Practice Telephone | 6199552622 |
| Mailing Telephone | 6199552622 |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2008-03-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | PSY21206 | CA | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PSY21206 | CA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY21206 | CA | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
PSY21206 | CA | Behavioral Health & Social Service Providers |
| N | 103TP0814X |
Psychologist Specialization: Psychoanalysis |
PSY21206 | CA | Behavioral Health & Social Service Providers |
| Street Address |
480 ALTA ROAD R.J. DONOVAN CORRECTIONAL FACILITY |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92179-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205462769 | Corrections and Rehabilitation | Pharmacy | 480 Alta Road, Pharmacy Building Room 122, San Diego, CA 92179 | 2020-03-17 |
| 1104343946 | Ruth Ann Villasenor | Social Worker | 480 Alta Road, San Diego, CA 92179 | 2017-08-23 |
| 1235478652 | Craig Teofilo | Psychologist | 480 Alta Road, San Diego, CA 92198 | 2013-02-05 |
| 1902171614 | Alan Greg Springer | Pharmacist | 480 Alta Road, San Diego, CA 92179-0001 | 2012-03-13 |
| 1063657385 | Charles Fielding Marsh | Psychiatry & Neurology | 480 Alta Road, San Diego, CA 92179 | 2008-12-16 |
| 1932374238 | John Charles Preston IIi | Psychiatry & Neurology | 480 Alta Road, San Diego, CA 92179 | 2008-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275169005 | Corrections and Rehabilitation | Pharmacy | 481 Alta Road, Facility E, Facility Support Building, Room A161, San Diego, CA 92179 | 2020-03-12 |
| 1508104928 | Paul Hippaka | Social Worker | 408 Alta Road, San Diego, CA 92179 | 2013-01-18 |
| 1518302124 | Antoinette Frances Dorothy Busalacchi | Physician Assistant | 480 Alta Rd, San Diego, CA 92179 | 2013-05-08 |
| 1609049972 | Richard Louis Gomez | Psychiatry & Neurology | 480 Alta Rd, Dept of Mental Health Services Rjdcf, San Diego, CA 92179 | 2008-04-08 |
| 1932371127 | John A. Saunders | Psychiatry & Neurology | 480 Alta Rd, Rjdcf, San Diego, CA 92179 | 2008-03-27 |
| 1760452874 | Ryan Anthony Barenchi | Family Medicine | 480 Alta Rd, San Diego, CA 92179-0001 | 2006-01-23 |
| 1700418878 | Nadia Hortencia Camarillo | Social Worker | 480 Alta Rd, San Diego, CA 92179-0001 | 2020-02-06 |
| 1083265367 | Essence Dawson | Social Worker | 480 Alta Rd, San Diego, CA 92179-0001 | 2019-09-27 |
| 1689184905 | Rushton Arthur Backer | Psychologist | 480 Alta Rd, San Diego, CA 92179-0001 | 2017-10-02 |
| 1285164269 | Colleen Marie Strahan | Pharmacist | 480 Alta Rd, San Diego, CA 92179-0001 | 2017-06-13 |
| Find all providers in zip 92179 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1396353520 | Chandra Estelle Khalifian | Psychologist | 4975 Foothill Blvd, San Diego, CA 92109-2236 | 2020-07-14 |
| 1225661838 | Sharon Saeedi Psy D Psychologist Inc | Psychologist | 185 W F St Ste 100l, San Diego, CA 92101-6029 | 2020-02-21 |
| 1609414242 | Laura Beth Fitzpatrick | Psychologist | 3322 29th St, San Diego, CA 92104-4533 | 2019-12-13 |
| 1790329613 | Growgood Psychology, Corp | Psychologist | 3405 Kenyon St # 513-06, San Diego, CA 92110-5003 | 2019-11-04 |
| 1891355996 | Stephanie Ann Massey | Psychologist | 12625 High Bluff Dr Ste 206, San Diego, CA 92130-2053 | 2019-06-19 |
| 1225697543 | Dr. Emily N. Kierce, Psychologist, A Professional Corporation | Psychologist | 402 W Broadway Ste 1925, San Diego, CA 92101-8505 | 2019-06-10 |
| 1023674884 | Desiree Arlene Cuevas | Psychologist | 2525 Camino Del Rio S Ste 305, San Diego, CA 92108-3784 | 2019-05-16 |
| 1396212023 | Paul William Randolph | Psychologist | 727 Robinson Ave Apt D, San Diego, CA 92103-4364 | 2018-10-31 |
| 1952876526 | Amanda Cooney | Psychologist | 2515 Old Quarry Rd Apt 1314, San Diego, CA 92108-2759 | 2018-10-09 |
| Find all providers in SAN DIEGO | ||||
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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.