THOMAS A HOLM PH.D.
NPI 1861427452
Psychologist - Clinical in Winston Salem, NC

Q: What is Thomas Holm's NPI number?

The NPI number for Thomas Holm is 1861427452. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Q: What is Thomas Holm's specialty?

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

Q: Is Thomas Holm enrolled in Medicare?

No. Thomas Holm has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Thomas Holm was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 July 11, 2006Opted out of Medicare · through Apr 1, 2027

2990 BETHESDA PL, SUITE 604-B, WINSTON SALEM, NC 27103(336) 659-8087(336) 659-8194 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Thomas A Holm Ph.d. NPPES

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

THOMAS A HOLM PH.D. (NPI 1861427452) is an individual clinical provider in Winston Salem, North Carolina, licensed in North Carolina (682) and active in the NPI registry since July 2006. He has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1861427452

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameTHOMAS A HOLMCredential: PH.D.

Location Address2990 BETHESDA PL, SUITE 604-BWinston Salem, NC 27103-3318

Mailing Address2990 Bethesda Pl, Suite 604-bWinston Salem, NC 27103-3318 · (336) 659-8087 · Fax (336) 659-8194

Phone(336) 659-8087

Fax(336) 659-8194

Sole ProprietorYes

Enumeration DateJuly 11, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1861427452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NC · 682

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.

2990 BETHESDA PL, Winston Salem, NC 27103

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Other Identifiers 6

Medicaid6000482NC

Other03140NC · Blue Cross Blue Sheild

Other279057NC · Value Options

Other6115017NC · United Behavioral Health

Medicare UPINR40966NC

Medicare ID-Type Unspecified2812021ANC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Thomas A Holm 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 April 1, 2019 through April 1, 2027.

Opt-Out Effective DateApril 1, 2019

Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$165.09 typical visit price

range $54.12 – $165.09

Typical copayment $41.27 (range $13.53 – $41.27)

Most-billed visit code 99205

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

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

DR. JAMES DWIGHT MATTOX JR. M.D.

Psychiatry & Neurology (Psychiatry)

2990 BETHESDA PL, SUITE 602 A
WINSTON SALEM, NC 27103

Forsyth County (336) 768-8281

SHARE SELF CARE LLC

Community/Behavioral Health

2990 BETHESDA PL
WINSTON SALEM, NC 27103

Forsyth County (336) 804-9936

MR. CHRISTOPHER PAUL RODRIGUEZ MA

Marriage & Family Therapist

2990 BETHESDA PL, SUITE 604A
WINSTON SALEM, NC 27103

Forsyth County (336) 413-3181

MS. TEVEN ANN HARMON-TOWNSEND LCSW

Social Worker (Clinical)

2990 BETHESDA PL, SUITE 602-B
WINSTON SALEM, NC 27103

Forsyth County (336) 768-8281

NEW DIRECTIONS - TREATMENT CENTER FOR ANXIETY AND DEPRESSION

Clinic/Center (Mental Health (Including Community Mental Health Center))

2990 BETHESDA PL, SUITE 602-B
WINSTON SALEM, NC 27103

Forsyth County (336) 768-8281

MS. DEBORAH TAYLOR GREY LCSW

Social Worker (Clinical)

2990 BETHESDA PL, SUITE 602-A
WINSTON SALEM, NC 27103

Forsyth County (336) 768-8281

MS. MARY LADD HEBERT LCSW

Social Worker (Clinical)

2990 BETHESDA PL, 602-A
WINSTON SALEM, NC 27103

Forsyth County (336) 768-8281

DR. ALAN RICHARD COOK PH.D.

Psychologist (Clinical)

2990 BETHESDA PL, SUITE 602-A
WINSTON SALEM, NC 27103

Forsyth County (336) 768-8281

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 Thomas Holm's NPI number?

The NPI number for Thomas Holm is 1861427452. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Thomas Holm located?

Thomas Holm practices at 2990 Bethesda Pl Suite 604-B, Winston Salem, NC 27103. The listed phone number is (336) 659-8087.

What is Thomas Holm's specialty?

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

Is Thomas Holm enrolled in Medicare?

No. Thomas Holm has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Thomas Holm was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.