MARK HOLMAN PSYCHOLOGICAL SERVICES, LLC
NPI 1508640558
Psychologist - Clinical in Anchorage, AK

Active since August 22, 2023
2401 E 42ND AVE STE 306, ANCHORAGE, AK 99508(907) 280-7720 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mark Holman Psychological Services, Llc NPPES

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

MARK HOLMAN PSYCHOLOGICAL SERVICES, LLC (NPI 1508640558) is a healthcare organization registered as a clinical in Anchorage, Alaska and active in the NPI registry since August 2023. The organization lists Mark V Holman, Owner, as its authorized official.

NPPES Registry Identity

NPI1508640558
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameMARK HOLMAN PSYCHOLOGICAL SERVICES, LLC
Location Address2401 E 42ND AVE STE 306Anchorage, AK 99508-5228
Mailing Address2401 E 42nd Ave Ste 306Anchorage, AK 99508-5228 · (907) 280-7720
Organization SubpartNo
Authorized OfficialMark V HolmanOwner · (907) 280-7720
Enumeration DateAugust 22, 2023
NPPES CertifiedAugust 21, 2023
✔ NPI 1508640558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
2401 E 42ND AVE STE 306, Anchorage, AK 99508

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Holman Psychological Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mark Holman Psychological Services, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1780809780
3695 HOT SPRINGS BLVD
Las Vegas, NM 87701
(505) 454-2471
✔ PECOS✔ Accepts Medicare2,622 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mark Holman Psychological Services, LLC's NPI number?

The NPI number for Mark Holman Psychological Services, LLC is 1508640558. It was assigned to this organization in the NPPES registry on August 22, 2023.

Where is Mark Holman Psychological Services, LLC located?

Mark Holman Psychological Services, LLC is located at 2401 E 42nd Ave Ste 306, Anchorage, AK 99508. The listed phone number is (907) 280-7720.

What is Mark Holman Psychological Services, LLC's specialty?

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

Is Mark Holman Psychological Services, LLC enrolled in Medicare?

Yes. Mark Holman Psychological Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mark Holman Psychological Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Mark Holman Psychological Services, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mark Holman Psychological Services, LLC was last updated on August 22, 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.