Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083363626 Individual Practitioner Male Practitioner

Dr. Ryan Edward Holt , PhD

Psychologist • Southlake, TX

Professional Overview & Biography Verified Profile Summary

Dr. Ryan Holt, PhD is a registered healthcare professional specializing in Psychologist in Southlake, TX. Practice services are available at 1723 E SOUTHLAKE BLVD STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1723 E Southlake Blvd Ste 200

Southlake, TX 760926445

Telephone 6822927012
Associated Practice Facility / Clinic
🏢 Peace Psychology Center Pllc Facility NPI 1295310001

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Southlake, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
14 Specialists

Practicing in Southlake, TX (2266 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

CMS Verified: 2022-03-21
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License TX 38271

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.

Psychologist

NUCC Taxonomy Code: 103T00000X

State License CA 32870

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.

Practice Associates & Co-Workers

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

7 Associated Practitioners
NPI 1043697774

Doctor of Philosophy (Ph.D.)

Amanda Carnes , LPC

Counselor - Professional

NPI 1083316475

Licensed Professional Counselor

Ashlea Miller

Psychologist - Clinical

NPI 1124948047
Latasha Greene

Psychologist - Clinical

NPI 1366124836
Sara Stuart , LMSW

Social Worker

NPI 1417664848

Licensed Master Social Worker

Dr. Kimberly Komon , PhD

Psychologist - Clinical

NPI 1972385615

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 21, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location March 21, 2022

Registered at 1723 E SOUTHLAKE BLVD STE 200, SOUTHLAKE, TX 760926445 (Tel: 6822927012)

📍
Updated Business Mailing Address March 21, 2022

Registered at 16173 FAIRVIEW AVE, FONTANA, CA 923362485

👤
Provider Name / Credentials Updated March 21, 2022

Recorded as RYAN HOLT, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 21, 2022

Psychologist (License #32870 in CA)

🟢
Initial NPI Registration & Enumeration March 21, 2022

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: 1083363626
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 21, 2022
Last Update: March 21, 2022
Sole Proprietor: Yes

Mailing Address

16173 Fairview Ave

Fontana, CA 923362485

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.