Organization Active NPI

Holistic Resources LLC

  • Clinical Psychologist
  • North Liberty, IA
National Provider Identifier
1760044929
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
HOLISTIC RESOURCES LLC
Practice address
6 Hawkeye Dr Ste 101
North Liberty, IA 52317-8904
Phone
(319) 665-2848
Fax
(319) 665-2849
NPI assigned
Jul 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Authorized official

Name
Dr. Christina E. Stai, PSY.D.
Title
Licensed Clinical Psychologist
Phone
(319) 665-2848

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

6 Hawkeye Dr Ste 101
North Liberty, IA 52317-8904

Mailing address

6 Hawkeye Dr Ste 101
North Liberty, IA 52317-8904
Phone (319) 665-2848

Other names 1

  • Holistic Resources Doing business as

National Provider Directory

National Provider Directory

Locations

6 Hawkeye Dr
Ste 101
North Liberty, IA 52317
Phone (319) 665-2848

NPI Registry JSON

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562544000000",
    "number": "1760044929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HAWKEYE DR STE 101",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523178904",
            "telephone_number": "319-665-2848",
            "fax_number": "319-665-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HAWKEYE DR STE 101",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523178904",
            "telephone_number": "319-665-2848",
            "fax_number": "319-665-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC RESOURCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A",
        "authorized_official_last_name": "STAI",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "319-665-2848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holistic Resources",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Liberty, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.