MATTHEW IAN HOLBROOK LPA NPI 1235884180

NPI Information

  • NPI: 1235884180
  • Provider Name: MATTHEW IAN HOLBROOK, LPA
  • Classification: Psychologist - 103T00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10100 LINN STATION RD STE 1A
    LOUISVILLE, KY
    ZIP 40223
  • Phone: (502) 909-0772

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NPI Details

Matthew Ian Holbrook, LPA is a psychologist in Louisville, KY with 3 years of experience. The provider is 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. Matthew Ian Holbrook, LPA NPI is 1235884180. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year:2022

The provider's business location address is:

10100 LINN STATION RD STE 1A
LOUISVILLE, KY
ZIP 40223-861
Phone: (502) 909-0772
Fax: (855) 859-0123

The NPI 1235884180 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/18/2022 and was last updated on 11/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12255A2300XSpecialist/TechnologistAthletic TrainerNo
22279P1005XRespiratory Therapist, RegisteredPulmonary RehabilitationNo
3103T00000XPsychologist293310KENTUCKYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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