NPIMap

Organization Active NPI

Brandon Hollister, PH.D., LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gretna, NE
National Provider Identifier
1154836930
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
943 Issued in NE
Legal business name
BRANDON HOLLISTER, PH.D., LLC
Practice address
21410 McClellan Cir
Gretna, NE 68028-6910
Phone
(402) 460-7282
NPI assigned
Dec 3, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brandon Alan Hollister, PH.D.NPI 1578077459
Title
Licensed Psychologist
Phone
(402) 460-7282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 943 NE Primary

Addresses

Primary practice location

21410 McClellan Cir
Gretna, NE 68028-6910

Mailing address

21410 McClellan Cir
Gretna, NE 68028-6910
Phone (402) 460-7282

Other practice location 1

11414 W Center Rd Ste 243
Omaha, NE 68144-4487
Phone (402) 333-8210

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1154836930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21410 MCCLELLAN CIR",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680286910",
            "telephone_number": "402-460-7282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21410 MCCLELLAN CIR",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680286910",
            "telephone_number": "402-460-7282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11414 W Center Rd Ste 243",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681444487",
            "country_code": "US",
            "telephone_number": "402-333-8210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRANDON HOLLISTER, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-03",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "HOLLISTER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "402-460-7282",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NE",
            "license": "943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.