DR. HOLLY ANTON PH.D.
NPI 1487973665
Psychologist - Clinical in Sebastopol, CA

Q: What is Holly Anton's NPI number?

The NPI number for Holly Anton is 1487973665. It was assigned to this individual provider in the NPPES registry on May 26, 2010.

Q: What is Holly Anton's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Holly Anton enrolled in Medicare?

No. Holly Anton has opted out of Medicare through January 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Holly Anton was last updated on May 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 May 26, 2010Opted out of Medicare · through Jan 19, 2028

105 MORRIS ST STE 200, SEBASTOPOL, CA 95472(707) 875-6526(707) 827-3726 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2023, Mar 22, 2023, Feb 6, 2023 and 2 more (5 updates tracked since 2016).

On this page

About Dr. Holly Anton Ph.d. NPPES

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

DR. HOLLY ANTON PH.D. (NPI 1487973665) is an individual clinical provider in Sebastopol, California, licensed in California (PSY18114) and active in the NPI registry since May 2010. She has opted out of Medicare through January 19, 2028 and is a graduate of Other (2000).

NPPES Registry Identity

NPI1487973665

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. HOLLY ANTONCredential: PH.D.

Location Address105 MORRIS ST STE 200Sebastopol, CA 95472-3826

Mailing Address967 Midpine WaySebastopol, CA 95472-5583 · (707) 875-6526 · Fax (707) 827-3726

Phone(707) 875-6526

Fax(707) 827-3726

Sole ProprietorYes

Medical School CMSOtherGraduated 2000

Enumeration DateMay 26, 2010

Last NPPES UpdateMay 12, 20235 updates tracked since enumeration

NPPES CertifiedMay 12, 2023

✔ NPI 1487973665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY18114

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License PSY18114 (CA)

105 MORRIS ST STE 200, Sebastopol, CA 95472

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Holly Anton Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 19, 2026 through January 19, 2028.

Opt-Out Effective DateJanuary 19, 2026

Opt-Out In Effect ThroughJanuary 19, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Holly Anton's NPI number?

The NPI number for Holly Anton is 1487973665. It was assigned to this individual provider in the NPPES registry on May 26, 2010.

Where is Holly Anton located?

Holly Anton practices at 105 Morris St Ste 200, Sebastopol, CA 95472. The listed phone number is (707) 875-6526.

What is Holly Anton's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Holly Anton enrolled in Medicare?

No. Holly Anton has opted out of Medicare through January 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Holly Anton was last updated on May 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.