Active NPI
Holistic Resources LLC
- Clinical Psychologist
- North Liberty, IA
National Provider Identifier
1760044929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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
National Provider Directory
National Provider DirectoryLocations
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.