DR. IEKTJE VAN BOLHUIS


Address: 6012 W William Cannon Dr, Ste B-103, Austin, TX 78749-1980
Phone: 5128911500

DR. IEKTJE VAN BOLHUIS (NPI# 1851642094) 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) 1851642094
Entity Type Individual
Full Name DR. IEKTJE VAN BOLHUIS
Other Name DR. IEKTJE STEPHENS
Credential PH.D.
Practice Address 6012 W William Cannon Dr
Ste B-103
Austin
TX 78749-1980
Practice Telephone 5128911500
Mailing Telephone 5128911500
Enumeration Date 2012-09-27
Last Update Date 2012-09-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 36265 TX Behavioral Health & Social Service Providers
N 103TS0200X Psychologist
Specialization: School
70154 TX Behavioral Health & Social Service Providers

Office Location

Street Address 6012 W WILLIAM CANNON DR
STE B-103
City AUSTIN
State TX
Zip Code 78749-1980

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912915646 John Darrell Hernandez Internal Medicine 6012 W William Cannon Dr, Ste A102, Austin, TX 78749-1980 2006-08-05
1578979092 Lindsay Heath Clinical Neuropsychologist 6012 W William Cannon Dr, B-103, Austin, TX 78749-1980 2014-07-03
1457784605 Austin Connect To Wellness, Inc. Behavioral Analyst 6012 W William Cannon Dr, Suite B-103, Austin, TX 78749-1980 2013-08-12
1396051579 Lindsay Downs Evans Psychologist 6012 W William Cannon Dr, Ste. B-103, Austin, TX 78749-1980 2010-08-25
1831401918 Kristen Ridley Beers Clinical Neuropsychologist 6012 W William Cannon Dr, Ste. B-103, Austin, TX 78749-1980 2010-07-06
1881848364 Stacey Bates Psychologist 6012 W William Cannon Dr, B-103, Austin, TX 78749-1980 2008-11-10
1275794406 Wolfe Neuropsychological Services, Pllc Clinical Neuropsychologist 6012 W William Cannon Dr, B-103, Austin, TX 78749-1980 2008-06-20
1538331673 Christina Toner Sabisch Social Worker 6012 W William Cannon Dr, Suite B-103, Austin, TX 78749-1980 2008-03-28
1992982565 Monica Wolfe Stewart Clinical Neuropsychologist 6012 W William Cannon Dr, B-103, Austin, TX 78749-1980 2008-01-25
1871779256 Lynn Jackson, Pt, PC Physical Therapist 6012 W William Cannon Dr, Bldg C-101, Austin, TX 78749-1980 2008-01-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144863812 Atx Sleep Center of Austin Clinic/Center 5920 W William Cannon Dr Bldg 6 Ste 110, Austin, TX 78749 2019-10-24
1194366740 Monica Leann Woodworth Behavioral Analyst 5700 S Mopac Expy, C310, Austin, TX 78749 2019-10-04
1346894045 Brianna Gonzalez Behavioral Analyst 5700 S Mopac Expy C310, Austin, TX 78749 2019-07-31
1811549603 Austin Michael Arzaga Pharmacist 6600 Mopac Expressway South, Austin, TX 78749 2019-07-11
1922565092 Ashley Harmon Social Worker 5417 S Mopac Expy, 418, Austin, TX 78749 2019-02-26
1316391139 National Vision, Inc. Technician/Technologist 5300 S Mopac Expw, Ste 102 & 102c, Austin, TX 78749 2016-04-18
1972976322 P&h Services, LLC Durable Medical Equipment & Medical Supplies 5920 W. William Cannon Dr., Bldg 6, Ste. 225, Austin, TX 78749 2015-11-06
1023495207 Oncall Emergency Center Circle C LLC Clinic/Center 5701 W. Slaughter Lane, Blg G Ste 101, Austin, TX 78749 2015-04-27
1447685953 Sally Vanessa Moser Dentist 3601 W. William Cannon Dr, Bldg 4, Ste 500, Austin, TX 78749 2013-09-04
1386987576 Qiwei Paulson Internal Medicine 7504 Orrick Dr, Austin, TX 78749 2013-04-05
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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
1619503497 Kim Praderas Pllc Psychologist 3301 Northland Dr Ste 320, Austin, TX 78731-4952 2020-03-12
1427693928 The University of Texas At Austin Psychologist 100 W Dean Keeton St., Austin, TX 78712 2019-11-08
1528618774 Psicologia Psychology Pllc Psychologist 2500 W William Cannon Dr Ste 703, Austin, TX 78745-5252 2019-09-18
1023574761 Con Alma Therapy, Pllc Psychologist 2222 Western Trails Blvd Ste 107, Austin, TX 78745-1601 2019-02-19
1831660364 Neisha Hootman Psychologist 5555 N Lamar Blvd Ste E125, Austin, TX 78751-1052 2018-12-10
1952886962 Erika Jane Vivyan Psychologist 205 Wild Basin #3 Suite 202, Austin, TX 78746 2018-09-26
1346736741 Samuel Andrew Donaldson Psychologist 1308 Walnut Ave, Austin, TX 78702-1530 2018-07-09
1194214940 Emily B. Kerzin Psychologist 3006 Bee Caves Rd, Ste. D-310, Austin, TX 78746 2018-05-08
1740797596 Serena Messina Psychologist 1907 N Lamar Blvd Ste 230, Austin, TX 78705-4929 2018-01-02
1215446067 Dr. Barbara Lee Corff Pllc Psychologist 12343 Hymeadow Dr Ste 3b, Austin, TX 78750-1858 2017-09-25
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Competitor

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City AUSTIN
Zip Code 78749

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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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