Individual provider Active NPI

Lee Hollman, PSY.D.

  • Clinical Psychologist
  • Ballwin, MO
National Provider Identifier
1619725744
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2023044841 Issued in MO
Practice address
15480 Clayton Rd Ste 302
Ballwin, MO 63011-3172
Phone
(314) 384-2528
NPI assigned
May 13, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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 2023044841 MO Primary

Addresses

Primary practice location

15480 Clayton Rd Ste 302
Ballwin, MO 63011-3172

Mailing address

1297 Kennebec Rd
Chesterfield, MO 63017-1929
Phone (920) 728-1479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20240630000031 MO Practitioner - Clinical Psychologist 5890239966 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hessed Psychological Services LLCGroup PAC ID 0840680575, 8 clinicians

Practice addresses (Care Compare)

15480 Clayton Rd
Suite 302
Ballwin, MO 63011-3172
Phone (331) 707-4031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2023044841MOMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Shanon Harlow, LLC Clinical CurrentSince Sep 1, 2024 Accepting new patients
Hessed Psychological Services LLC CurrentSince Jun 22, 2025 Accepting new patients
State of Missouri CurrentSince May 28, 2024 Accepting new patients
State of Missouri Clinical CurrentSince May 28, 2024 Accepting new patients
Hollman & Hollman Clinical CurrentSince Dec 28, 2025 Accepting new patients

Locations

15480 Clayton Rd
Ste 302
Ballwin, MO 63011
Phone (314) 384-2528

11144 Tesson Ferry Rd
Saint Louis, MO 63123
Phone (314) 729-1200

12801 Flushing Meadows Dr
Ste 120
Saint Louis, MO 63131
Phone (314) 729-1200

5351 Delmar Blvd
Saint Louis, MO 63112
Phone (314) 644-8552

11144 Tesson Ferry Rd
Ste 101
Saint Louis, MO 63123
Phone (314) 472-2100

5300 Arsenal St
Saint Louis, MO 63139
Phone (314) 644-8000

Organizations & group practices 5

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": "1715558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1619725744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1297 KENNEBEC RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630171929",
            "telephone_number": "920-728-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15480 CLAYTON RD STE 302",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113172",
            "telephone_number": "314-384-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLMAN",
        "first_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-13",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2023044841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballwin, MO

Sources for this page

Verify at the official NPI Registry.