Mark Holland, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

544 Issued in WY

Practice address

2435 King Blvd
Suite 313
Casper, WY 82604-3166

Phone

(307) 462-4876

Fax

(307) 337-3492

NPI assigned

Oct 1, 2007

Last updated

Aug 21, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Frontier Behavioral Health, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Casper, WY
  • NPI 1295220242
  NPD (past)

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408579200000",
    "number": "1265629430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 KING BLVD",
            "address_2": "SUITE 313",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826043166",
            "telephone_number": "307-462-4876",
            "fax_number": "307-337-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 KING BLVD",
            "address_2": "SUITE 313",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826043166",
            "telephone_number": "307-462-4876",
            "fax_number": "307-337-3492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-01",
        "last_updated": "2014-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WY",
            "license": "544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Hoffard
• Alexander Hoffman
• Michelle Lynn Hoffman
• Katherine Lynn Holder, OTR/L
• Ida Hole, NP
• Randy Layne Holman, H.I.S.
• Douglas L Holmes, M.D.
• Layne C Holmes, DVM
• Mary A Holmquist, R.N.
• Elizabeth Nell Holscher, BSW

• Clinical Psychologist in Casper, WY
• Providers in Casper, WY by specialty
• Clinical Psychologist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.