Active NPI
Grant Wade Owen Holland, PH.D.
- Psychologist
- Dallas, TX
National Provider Identifier
1285075424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 37075
- Practice address
- 3500 Oak Lawn Ave
Suite 230
Dallas, TX 75219-4308 - Phone
- (214) 305-2110
- Fax
- (469) 713-2700
- NPI assigned
- Jul 16, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 37075 | TX | Primary |
Addresses
Primary practice location
3500 Oak Lawn Ave
Suite 230
Dallas, TX 75219-4308
Mailing address
3500 Oak Lawn Ave
Suite 230
Dallas, TX 75219-4308
Phone (214) 305-2110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 24, 2020 through Feb 24, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37075 | TX | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston CBT, PLLC | Psychologist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- Houston, TX
- NPI 1174191043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445212800000",
"number": "1285075424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 OAK LAWN AVE",
"address_2": "SUITE 230",
"city": "DALLAS",
"state": "TX",
"postal_code": "752194308",
"telephone_number": "214-305-2110",
"fax_number": "469-713-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 OAK LAWN AVE",
"address_2": "SUITE 230",
"city": "DALLAS",
"state": "TX",
"postal_code": "752194308",
"telephone_number": "214-305-2110",
"fax_number": "469-713-2700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "GRANT",
"middle_name": "WADE OWEN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-16",
"last_updated": "2015-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "37075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.