AMY HOLSTEN PH.D.
NPI 1053665356
Psychologist - Clinical Child & Adolescent in Martinez, GA

Q: What is Amy Holsten's NPI number?

The NPI number for Amy Holsten is 1053665356. It was assigned to this individual provider in the NPPES registry on November 8, 2012.

Q: What is Amy Holsten's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Amy Holsten was last updated on June 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 08, 2012PECOS Enrolled

3711 EXECUTIVE CENTER DR, SUITE 101, MARTINEZ, GA 30907(706) 210-8855(678) 541-7699 Get Directions Write a Review

NPPES record last updated: June 24, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Amy Holsten Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY HOLSTEN PH.D. (NPI 1053665356) is an individual clinical child & adolescent provider in Martinez, Georgia, licensed in Georgia (PSY003677) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053665356

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameAMY HOLSTENCredential: PH.D.

Location Address3711 EXECUTIVE CENTER DR, SUITE 101Martinez, GA 30907-0951

Mailing Address3711 Executive Center Dr, Suite 101Martinez, GA 30907-0951 · (706) 210-8855 · Fax (678) 541-7699

Phone(706) 210-8855

Fax(678) 541-7699

Sole ProprietorNo

Enumeration DateNovember 8, 2012

Last NPPES UpdateJune 24, 2013

✔ NPI 1053665356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in GA · PSY003677

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

3711 EXECUTIVE CENTER DR, Martinez, GA 30907

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Holsten Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SUE HOWELL-FAFCHAMPS LCSW, LMSW,LISW-CP

Social Worker

3711 EXECUTIVE CENTER DR, SUITE 201
MARTINEZ, GA 30907

Columbia County (706) 868-5011

POSITIVE BEGININGS

Counselor (Professional)

3711 EXECUTIVE CENTER DR
AUGUSTA, GA 30907

Columbia County (706) 955-9224

NITEIKA LACOLE HARRISON LMSW

Social Worker

3711 EXECUTIVE CENTER DR, SUITE 201
MARTINEZ, GA 30907

Columbia County (706) 868-5011

AGAPE BEHAVIORAL HEALTHCARE AND COUNSELING, LLC .

Community/Behavioral Health

3711 EXECUTIVE CENTER DR
MARTINEZ, GA 30907

Columbia County (912) 541-2801

WISDOM SOLUTIONS OF THE CSRA, LLC

Community/Behavioral Health

3711 EXECUTIVE CENTER DR, SUITE 101
MARTINEZ, GA 30907

Columbia County (706) 592-8424

LOLITA D WIGGS MS, LPC

Counselor (Professional)

3711 EXECUTIVE CENTER DR, SUITE 101
MARTINEZ, GA 30907

Columbia County (706) 210-8855

TRANSFORMATION 3CS, LLC

Counselor (Mental Health)

3711 EXECUTIVE CENTER DR, STE 202 #6
MARTINEZ, GA 30907

Columbia County (706) 750-4275

BETH ROSALYN MADDEN LCSW

Social Worker (Clinical)

3711 EXECUTIVE CENTER DR, SUITE 201
AUGUSTA, GA 30907

Columbia County (706) 868-5011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Holsten's NPI number?

The NPI number for Amy Holsten is 1053665356. It was assigned to this individual provider in the NPPES registry on November 8, 2012.

Where is Amy Holsten located?

Amy Holsten practices at 3711 Executive Center Dr Suite 101, Martinez, GA 30907. The listed phone number is (706) 210-8855.

What is Amy Holsten's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Amy Holsten enrolled in Medicare?

Yes. Amy Holsten is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amy Holsten was last updated on June 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.