NPIMap

Individual provider Active NPI

Jean Hunter Hollenshead, PSYCHOLOGIST

  • Psychologist
  • Shreveport, LA
National Provider Identifier
1356397665
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
452 Issued in LA
Practice address
820 Jordan St
Suite J
Shreveport, LA 71101-4518
Phone
(318) 470-6103
Fax
(318) 798-4171
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 452 LA
Psychologist 103T00000X 452 LA Primary
Clinical Child & Adolescent Psychologist 103TC2200X 452 LA

Addresses

Primary practice location

820 Jordan St
Suite J
Shreveport, LA 71101-4518

Mailing address

7717 Creswell Rd Lot 34
Shreveport, LA 71106-6033
Phone (318) 470-6103

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
452LAMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333670400000",
    "number": "1356397665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7717 CRESWELL RD LOT 34",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711066033",
            "telephone_number": "318-470-6103",
            "fax_number": "318-798-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 JORDAN ST",
            "address_2": "SUITE J",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014518",
            "telephone_number": "318-470-6103",
            "fax_number": "318-798-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLENSHEAD",
        "first_name": "JEAN",
        "middle_name": "HUNTER",
        "name_prefix": "Dr.",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2012-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "LA",
            "license": "452",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "LA",
            "license": "452",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "LA",
            "license": "452",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.