Active NPI
Cheryl Ann Hollingsworth, M.D.
- Psychiatry Physician
- Odessa, TX
National Provider Identifier
1447352273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- L0823
- Practice address
- 1111 W 12TH St
Odessa, TX 79763-3596 - Phone
- (432) 333-3265
- Fax
- (432) 580-2679
- NPI assigned
- Sep 2, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | L0823 | TX | Primary |
Addresses
Primary practice location
1111 W 12TH St
Odessa, TX 79763-3596
Mailing address
401 E Illinois Ave
Ste. 400
Midland, TX 79701-4803
Phone (432) 570-3333
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L0823 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permian Basin Community Centers for MHMR | Psychiatry | Past | Accepting new patients |
| Permian Basin Community Centers for MHMR | Psychiatry | Past | Accepting new patients |
| West Texas Centers for MHMR | Psychiatry | Past | Accepting new patients |
| Permian Basin Community Centers for Mental Health & Mental Retardation | Psychiatry | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Alpine, TX
- NPI 1851464119
Psychiatry
-
- Psychiatry Physician
- Odessa, TX
- NPI 1043381924
-
- Psychiatry Physician
- Odessa, TX
- NPI 1073614624
-
dba West Texas Centers
- Psychiatry Physician
- Big Spring, TX
- NPI 1154348514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447352273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 E ILLINOIS AVE",
"address_2": "STE. 400",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797014803",
"telephone_number": "432-570-3333",
"fax_number": "432-570-3426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 W 12TH ST",
"city": "ODESSA",
"state": "TX",
"postal_code": "797633596",
"telephone_number": "432-333-3265",
"fax_number": "432-580-2679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLINGSWORTH",
"first_name": "CHERYL",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "L0823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, TX
- Hochatown Dialysis LLC (Odessa Dialysis)
- Camden E Hoeffner, LPC
- Andrea Renee Holguin
- Holistic Wellness Institute (Tommy L. Pool)
- Bob M Hollander, D.C.
- Kathryn York Hollmann, MS.CCC.SLP
- Jennifer Zant Holloman, PT
- Paul Anthony Holmes, D.C.
- Home Healthcare Nursing, LLC (Home Nursing)
- Home Hospice of Odessa/Midland, LLC (Home Hospice)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.