Individual provider Active NPI

Cheryl Ann Hollingsworth, M.D.

  • Psychiatry Physician
  • Odessa, TX
National Provider Identifier
1447352273
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
L0823 Issued in TX
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
L0823TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

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.

Verify at the official NPI Registry.