Jessica Lynn Bollin

Primary specialty

PsychologistTaxonomy code 103T00000X

License

41144 Issued in TX

Practice address

1201 S Sherman St Ste 211
Richardson, TX 75081-6510

Phone

(469) 665-8036

NPI assigned

Jul 22, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not 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.

• Healing Sea Turtle, LLC

  • Psychologist
  • Richardson, TX
  • NPI 1942052105
  NPD (past)
• Honu Healthcare, LLC

  • Clinical Neuropsychologist
  • Richardson, TX
  • NPI 1104649094

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1649843012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S SHERMAN ST STE 211",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750816510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S SHERMAN ST STE 211",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750816510",
            "telephone_number": "469-665-8036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3418 N Tarrant Pkwy Ste 320",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761778646",
            "country_code": "US",
            "telephone_number": "469-665-8036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8915 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752351717",
            "country_code": "US",
            "telephone_number": "515-201-9819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLLIN",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "41144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaac Bogonko
• Lakiesha Bohannon, PA
• Sebrena Bohnsack
• Alieu Bojang, APRN (NP)
• Jimmy Carroll Boley, D.D.S., M.S.
• Christy L Bommarito, PHD
• David Gregory Bonnet, M.D.
• Booneville Anesthesia Services LLC
• Patrick Boothe, D.O.
• Boppana Primary Care Clinic, PLLC

• Psychologist in Richardson, TX
• Providers in Richardson, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.