Sara Hollis, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

R0505 Issued in MO

Practice address

1736E Sunshine St 811
Springfield, MO 65804-1334

Phone

(417) 882-4485

Fax

(417) 882-5517

NPI assigned

Nov 9, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Evergreen Health Center, PC

  • Psychologist
  • Lebanon, MO
  • NPI 1306942693
  NPD (past)
• Sharol McGehee & Associates PC

  • Group Psychotherapy Psychologist
  • Springfield, MO
  • NPI 1841378163
  NPD (past)

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1528049392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736E SUNSHINE ST 811",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041334",
            "telephone_number": "417-882-4485",
            "fax_number": "417-882-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736E SUNSHINE ST 811",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041334",
            "telephone_number": "417-882-4485",
            "fax_number": "417-882-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "SARA",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-09",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "R0505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "464393",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK",
            "identifier": "203760",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW DIRECTIONS",
            "identifier": "18803",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7489134",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "118660",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Holland, PHARM.D.
• Morgan Hollandworth, MS
• Greg Hollingsworth, MAOM, L.AC.
• Maranda Hollins, HYG
• Bert S Hollis, CRNA
• Chuck J Hollister
• Holloman Care CDS LLC
• Holloman Care Companies LLC
• Holloman Transit Co, LLC
• David L Holloway, MS, LPC

• Clinical Psychologist in Springfield, MO
• Providers in Springfield, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.