JUDITH A. HOLMES PHD. P.C. NPI 1962596023

NPI Information

  • NPI: 1962596023
  • Provider Name: JUDITH A. HOLMES, PHD., P.C.
  • Classification: Clinical Neuropsychologist - 103G00000X
  • Entity Type: Organization
  • Address: 1440 RENAISSANCE DRIVE
    SUITE 200
    PARK RIDGE, IL
    ZIP 60068
  • Phone: (847) 296-3442

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NPI Details

JUDITH A. HOLMES, PHD., P.C. is a clinical neuropsychologist in Park Ridge, IL. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. JUDITH A. HOLMES, PHD., P.C. NPI is 1962596023. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1440 RENAISSANCE DRIVE
SUITE 200
PARK RIDGE, IL
ZIP 60068
Phone: (847) 296-3442
Fax: (847) 296-3543

The provider's authorized official is Judith A. Holmes .
The authorized official title is President and has the following contact phone number (847) 296-3442.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 8/16/2013.

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
1103G00000XClinical Neuropsychologist071004106ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101673546OTHERILLINOISBLUE SHIELD
2K05957MEDICARE UPINILLINOIS
3208853MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
4208853MEDICARE PINILLINOIS

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: 11/21/2025

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