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Deactivated NPI 1205916889 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Stephen Holloway , EdD

Psychologist - Intellectual & Developmental Disabilities • Worcester, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Holloway has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 17, 2006
NPI Deactivation Date May 08, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Holloway, EdD was a registered Psychologist - Intellectual & Developmental Disabilities practicing in Worcester, MA. Throughout an active medical career spanning 14 years, Dr. Holloway provided care at the practice location at 25 BURNCOAT ST until profile deactivation on 2020-05-08.

Practice Location & Contact Primary Location

Practice Address

25 Burncoat St
25 Burncoat St.

Worcester, MA 016051800

Telephone 5088538230
Fax 5088538205

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Intellectual & Developmental Disabilities in Worcester, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 2.0 Yrs
Regional Practice Density
3 Specialists

Practicing in Worcester, MA (26 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Intellectual & Developmental Disabilities Primary Specialty

NUCC Taxonomy Code: 103TM1800X

State License MA 1029

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Richard Cross , PhD

Psychologist - Clinical

NPI 1942471263

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 08, 2020

Record deactivated on May 08, 2020

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 25 BURNCOAT ST, 25 BURNCOAT ST., WORCESTER, MA 016051800 (Tel: 5088538230)

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Updated Business Mailing Address July 09, 2007

Registered at 25 BURNCOAT ST, 25 BURNCOAT ST., WORCESTER, MA 016051800 (Tel: 5088538230)

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Provider Name / Credentials Updated July 09, 2007

Recorded as ROBERT HOLLOWAY, EDD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Psychologist (License #1029 in MA)

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Initial NPI Registration & Enumeration October 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205916889
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2006
Last Update: July 09, 2007
Deactivation Date: May 08, 2020

Mailing Address

25 Burncoat St, 25 Burncoat St.

Worcester, MA 016051800

Phone: 5088538230

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
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