Individual provider Active NPI

Elizabeth Anne Holland, PHD

  • Clinical Psychologist
  • Anacortes, WA
National Provider Identifier
1508310103
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY60654496 Issued in WA
Practice address
606 Commercial Ave
Suite E
Anacortes, WA 98221-1700
Phone
(206) 739-7273
NPI assigned
Aug 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY60654496 WA Primary

Addresses

Primary practice location

606 Commercial Ave
Suite E
Anacortes, WA 98221-1700

Mailing address

606 Commercial Ave Ste E
Anacortes, WA 98221-1700
Phone (360) 610-7668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260109003685 TX Practitioner - Clinical Psychologist 3779076872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6406 Marine Dr
Tulalip, WA 98271-9775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY60654496WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Holland PHD PLLC CurrentSince Feb 1, 2020 Accepting new patients
Tulalip Tribes of Washington CurrentSince Oct 21, 2025 Accepting new patients

Locations

606 Commercial Ave
Ste E
Anacortes, WA 98221
Phone (206) 739-7273

7520 Totem Beach Rd
Tulalip, WA 98271
Phone (360) 651-4511

6406 Marine Dr
Ste A
Tulalip, WA 98271

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1508310103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 COMMERCIAL AVE STE E",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982211700",
            "telephone_number": "360-610-7668",
            "fax_number": "360-899-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 COMMERCIAL AVE",
            "address_2": "SUITE E",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982211700",
            "telephone_number": "206-739-7273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60654496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anacortes, WA

Sources for this page

Verify at the official NPI Registry.