Holli A Lefavour, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

001046 Issued in IA

Practice address

1026 A Ave NE
Cedar Rapids, IA 52402-5036

Phone

(319) 368-5892

Fax

(319) 369-7812

NPI assigned

Jul 14, 2006

Last updated

Mar 19, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: hlefavour40971@direct.unitypoint.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Trinity Regional Medical Center

  dba UnityPoint Clinic

  • Emergency Medicine Physician
  • Fort Dodge, IA
  • NPI 1073594156
  NPD (past)
• Memory Bridging Incorporated

  • Cognitive & Behavioral Psychologist
  • Parker, CO
  • NPI 1386827293
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395187200000",
    "number": "1194741157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 A AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025036",
            "telephone_number": "319-368-5892",
            "fax_number": "319-369-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 A AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025036",
            "telephone_number": "319-368-5892",
            "fax_number": "319-369-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEFAVOUR",
        "first_name": "HOLLI",
        "middle_name": "A",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2014-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IA",
            "license": "001046",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807269000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mechtild Bernadette Lee, TLMFT
• Shelly Lee, PHARM.D. RPH
• Wook H Lee, MD
• John Ryan Leefers, T-LMFT
• Jessie Leeper
• Legacy Home Care Inc.
• Sandra Leigh
• Leinbach Chiropractic, P.C.
• Stuart W Leinbach, D.C., C.C.E.P.
• Barbara G Leistikow, PT

• Clinical Psychologist in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Clinical Psychologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.