DR. PEGGY HOLCOMB (NPI# 1720352099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720352099 |
| Entity Type | Individual |
| Full Name | DR. PEGGY HOLCOMB |
| Credential | MS, MA, LEP, PHD |
| Practice Address |
4010 Foothills Bvld., Ste. 103-3 Roseville CA 95747 |
| Practice Telephone | 9164123373 |
| Mailing Telephone | 9164123373 |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2017-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | Behavioral Health & Social Service Providers | ||
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY28011 | CA | Behavioral Health & Social Service Providers |
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
Behavioral Health & Social Service Providers |
| Street Address |
4010 FOOTHILLS BVLD., STE. 103-3 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215407051 | Clifford Leo Faubert | Nurse Practitioner | 1937 Ellesmere Loop, Roseville, CA 95747 | 2018-12-04 |
| 1821577172 | Adam Botwinik | Psychologist | 8849 Cook Riolo Road, Roseville, CA 95747 | 2018-08-08 |
| 1093231201 | Heather Mairi Ybarra | Behavior Technician | 4216 Wyman Way, Roseville, CA 95747 | 2017-08-18 |
| 1881114650 | Bridget Bell | Behavior Technician | 8202 Tail Race Dr, Roseville, CA 95747 | 2017-06-22 |
| 1760911192 | Laura Marie Hummel | Massage Therapist | 9077 Foothills Blvd. Suite 200, Roseville, CA 95747 | 2017-06-08 |
| 1184975625 | Whitney Anne Wright | Marriage & Family Therapist | 7517 Locomotive Ln, Roseville, CA 95747 | 2012-09-24 |
| 1962764290 | Panumas Soukaroon | Physical Medicine & Rehabilitation | Glenwood Springs Way, Roseville, CA 95747 | 2012-06-12 |
| 1134487366 | Tatyana Serikov | Dental Hygienist | 616 Treviso Ct, Roseville, CA 95747 | 2012-04-25 |
| 1740577220 | Laina Marie Haider | Occupational Therapist | 7950 Footthills Blvd, The Bridges At Woodcreek Oaks, Roseville, CA 95747 | 2011-07-05 |
| 1487954186 | Barbee Elc | Home Health | 1406 Blue Oaks Blvd., Suite 175, Roseville, CA 95747 | 2010-10-27 |
| Find all providers in zip 95747 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720465453 | Bianca Georgescu | Clinical Neuropsychologist | 2801 Alexandra Dr, 3112, Roseville, CA 95661-6023 | 2015-05-01 |
| 1952542326 | Joel Solomon | Clinical Neuropsychologist | 406 Sunrise Ave # 300, Roseville, CA 95661-4106 | 2009-03-16 |
| 1144238262 | Wendy Marquardt | Clinical Neuropsychologist | 6 Medical Plaza Dr, Roseville, CA 95661-3037 | 2006-08-04 |
| 1275091456 | Monica Smith | Clinical Neuropsychologist | 2235 Douglas Blvd Ste 500, Roseville, CA 95661-4266 | 2019-03-07 |
| 1194232975 | Calsey E Fasching | Clinical Neuropsychologist | 2355 Highway 36 W Ste 400, Roseville, MN 55113-3905 | 2018-01-03 |
| 1003231283 | Wendy Lewis | Clinical Neuropsychologist | 1643 Eureka Rd, Roseville, CA 95661-3027 | 2014-02-25 |
| 1437587615 | Kimberly Elizabeth Lanni | Clinical Neuropsychologist | 1891 E Roseville Pkwy, Suite 100, Roseville, CA 95661-7973 | 2013-10-24 |
| 1306195094 | David Spangler Phd Inc | Clinical Neuropsychologist | 6 Medical Plaza Dr, Roseville, CA 95661-3037 | 2012-09-10 |
| 1750521431 | M Melanie Sapienza | Clinical Neuropsychologist | 6 Medical Plaza Dr, Sutter Rehabilitation Institute, Roseville, CA 95661-3037 | 2009-02-20 |
| 1669699930 | Robert Arthur Allen | Clinical Neuropsychologist | 700 Sunrise Ave, Suite B, Roseville, CA 95661-4561 | 2007-04-19 |
| Find all providers in ROSEVILLE | ||||
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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.