Individual provider Active NPI

Renee Myers Hollon, PHD

  • Clinical Psychologist
  • Birmingham, AL
National Provider Identifier
1225087653
Registry record updated Sep 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
939 Issued in AL
Practice address
2700 Corporate Dr Ste 200
Birmingham, AL 35242-2733
Phone
(205) 202-0436
Fax
(205) 584-4800
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 939 AL Primary

Addresses

Primary practice location

2700 Corporate Dr Ste 200
Birmingham, AL 35242-2733

Mailing address

3200 Tam Oshanter LN
Birmingham, AL 35242-4018
Phone (205) 202-0436

Other identifiers 1

IdentifierTypeStateIssuer
051520056OtherALBCBS OF AL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2021 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
939ALMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Myers Hollon Psychology, LLC Current Accepting new patients
SVPS Psychiatric Services LLC Past Accepting new patients

Locations

2700 Corporate Dr
Ste 200
Birmingham, AL 35242
Phone (205) 314-4760

4517 Pine Tree Cir
Vestavia, AL 35243
Phone (205) 286-2003

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632009600000",
    "number": "1225087653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 TAM OSHANTER LN",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424018",
            "telephone_number": "205-202-0436",
            "fax_number": "205-584-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CORPORATE DR STE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352422733",
            "telephone_number": "205-202-0436",
            "fax_number": "205-584-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLON",
        "first_name": "RENEE",
        "middle_name": "MYERS",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2021-09-19",
        "certification_date": "2021-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "051520056",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.