MEDICARE: TOM HOLLEY, MD, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	77-45	NM
2	2084P0804X	Child & Adolescent Psychiatry Physician	77-45	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659427615
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOM HOLLEY, MD, INC.

Provider Business Mailing Address
First Line	:	1216 ALCAZAR ST NE
Second Line	:	GOLDSMITH
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-7108
Country	:	US
Telephone Number	:	505-232-9516
Fax Number	:	505-232-9516

Provider Business Practice Location Address
First Line	:	1216 ALCAZAR ST NE
Second Line	:	GOLDSMITH
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87110-7108
Country	:	US
Telephone Number	:	505-232-9516
Fax Number	:	505-232-9516

Authorized Official
Title or Position	:	OWNER, PSYCHIATRIST
Name	:	DR. THOMAS R. HOLLEY
Credential	:	MD
Telephone Number	:	505-232-9516

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	08/18/2009

Similar Medicare Providers

1215525902 — AUGUST VOJDANI PA-C
Practice Location Address:

4588 PARADISE BLVD NW , MEDICARE ADVANTAGE CLINIC
ALBUQUERQUE, NM
87114-4105

Practice Phone: 505-998-1840
Practice Fax: 505-998-1841

1477606390 — MR. RONALD A GOLDSMITH ACSW, DCSW
Practice Location Address:

1216 ALCAZAR ST NE
ALBUQUERQUE, NM
87110-7108

Practice Phone: 505-232-9516
Practice Fax: 505-232-9516

1548399967 — JESSICA PENICK MS, CCC-SLP
Practice Location Address:

7108 GLADDEN AVE NE
ALBUQUERQUE, NM
87110-1464

Practice Phone: 505-238-6106
Practice Fax:

1316230501 — MS. GINEVRA CLARE SUTHERLAND SANCHEZ LMHC
Practice Location Address:

7108 LEONA ST NE
ALBUQUERQUE, NM
87109-4829

Practice Phone: 505-554-9003
Practice Fax:

1255764247 — MICHELLE RAE WIGGINS PTA
Practice Location Address:

7108 HEARTHSTONE RD NW
ALBUQUERQUE, NM
87114-4583

Practice Phone: 210-275-9968
Practice Fax:

1659828416 — JEROME GARCIA PTA
Practice Location Address:

7108 GISELE DR NE
ALBUQUERQUE, NM
87109-3798

Practice Phone: 505-400-9226
Practice Fax:

Directions to “TOM HOLLEY, MD, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.