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Active NPI 1558472183 Individual Practitioner Male Practitioner

Dr. Larry Holmes , PhD

Psychologist • Arbor Vitae, WI

Professional Overview & Biography Verified Profile Summary

Dr. Larry Holmes, PhD is a registered healthcare professional specializing in Psychologist in Arbor Vitae, WI. Practice services are available at 11102 TUCKAWAY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11102 Tuckaway Rd

Arbor Vitae, WI 545688913

Telephone 7153585400
Fax 7153585405

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Arbor Vitae, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Arbor Vitae, WI (1000 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 Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License WI 2535

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
39148300 (WI)
Commercial Insurance / Payer ID Medicare Ptan
WI1253 (WI)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 22, 2010

NPI status registered as active in NPPES database

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Updated Practice Location December 22, 2010

Registered at 11102 TUCKAWAY RD, ARBOR VITAE, WI 545688913 (Tel: 7153585400)

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Updated Business Mailing Address December 22, 2010

Registered at PO BOX 1309, ARBOR VITAE, WI 545681309 (Tel: 7153585400)

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Provider Name / Credentials Updated December 22, 2010

Recorded as LARRY HOLMES, PHD

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2010

Psychologist (License #2535 in WI)

🟢
Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1558472183
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: December 22, 2010
Sole Proprietor: Yes

Mailing Address

Po Box 1309

Arbor Vitae, WI 545681309

Phone: 7153585400

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.