Individual provider Active NPI

Holly Kay Vollink-Lent, MDIV, NCPSYA, LP

  • Psychoanalyst
  • Rochester, NY
National Provider Identifier
1194280149
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
000742-1 Issued in NY
Practice address
95 Allens Creek Road
BLDG 2, Ste 327
Rochester, NY 14618
Phone
(585) 410-1961
NPI assigned
Feb 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X 000742-1 NY Primary

Addresses

Primary practice location

95 Allens Creek Road
BLDG 2, Ste 327
Rochester, NY 14618

Mailing address

95 Allens Creek Rd Ste 327
Rochester, NY 14618-3246
Phone (585) 410-1961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000742-1NYMDPsychoanalyst

NPI Registry JSON

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1194280149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 ALLENS CREEK RD STE 327",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146183246",
            "telephone_number": "585-410-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 ALLENS CREEK ROAD",
            "address_2": "BLDG 2, STE 327",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14618",
            "telephone_number": "585-410-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLLINK-LENT",
        "first_name": "HOLLY",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "MDIV, NCPSYA, LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "000742-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.