DR. LARRY HOLMES PHD
NPI 1558472183
Psychologist in Arbor Vitae, WI

Active since August 31, 2006PECOS Enrolled
11102 TUCKAWAY RD, ARBOR VITAE, WI 54568(715) 358-5400(715) 358-5405 Get Directions Write a Review

NPPES record last updated: December 22, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Larry Holmes Phd NPPES

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

DR. LARRY HOLMES PHD (NPI 1558472183) is an individual psychologist in Arbor Vitae, Wisconsin, licensed in Wisconsin (2535) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558472183
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. LARRY HOLMESCredential: PHD
Location Address11102 TUCKAWAY RDArbor Vitae, WI 54568-8913
Mailing AddressPo Box 1309Arbor Vitae, WI 54568-1309 · (715) 358-5400 · Fax (715) 358-5405
Fax(715) 358-5405
Sole ProprietorYes
Enumeration DateAugust 31, 2006
Last NPPES UpdateDecember 22, 2010
NPI 1558472183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WI · 2535
Definition
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.
11102 TUCKAWAY RD, Arbor Vitae, WI 54568

Other Identifiers 3

Medicaid39148300WI
OtherWI1253WI · Medicare Ptan
Medicare UPINP77300WI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Larry Holmes Phd 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.

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 Larry Holmes's NPI number?

The NPI number for Larry Holmes is 1558472183. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Larry Holmes located?

Larry Holmes practices at 11102 Tuckaway Rd, Arbor Vitae, WI 54568. The listed phone number is (715) 358-5400.

What is Larry Holmes's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Larry Holmes enrolled in Medicare?

Yes. Larry Holmes is registered in the Medicare PECOS enrollment system.

What insurance does Larry Holmes accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and Security Health Plan list Larry Holmes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Larry Holmes was last updated on December 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.