Individual provider Active NPI

Holly Anne Lawrence, PSYD

  • Clinical Psychologist
  • McKinney, TX
National Provider Identifier
1760436638
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
31117 Issued in TX
Practice address
1801 Pearson Ave
McKinney, TX 75069-3464
Phone
(214) 727-0260
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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 31117 TX Primary

Addresses

Primary practice location

1801 Pearson Ave
McKinney, TX 75069-3464

Mailing address

14785 Preston Rd
Ste 550
Dallas, TX 75254-7899
Phone (214) 727-0260

Other identifiers 4

IdentifierTypeStateIssuer
031161502MedicaidTX
P00295323OtherTXRAILROAD MEDICARE
87163AOtherTXBCBS
031161505MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20060127000626 TX Practitioner - Clinical Psychologist 2264446392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Mind Body Wellness PCGroup PAC ID 6800879438, 4 clinicians

Practice addresses (Care Compare)

17304 Preston Rd
Suite 800
Dallas, TX 75252-5645
Phone (972) 849-8987

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31117TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Body Wellness PC CurrentSince Jun 1, 2007 Accepting new patients

Locations

9009 White Rock Trl
Dallas, TX 75238
Phone (214) 348-8100

17304 Preston Rd
Ste 800
Dallas, TX 75252
Phone (214) 763-1985

3315 Cross Timbers Rd
Flowermound, TX 75028
Phone (410) 552-4800

1801 Pearson Ave
McKinney, TX 75069
Phone (972) 509-5650

3208 Thunderbird Ln
Plano, TX 75075
Phone (972) 422-2214

Organizations & group practices 1

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1760436638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14785 PRESTON RD",
            "address_2": "STE 550",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547899",
            "telephone_number": "214-727-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 PEARSON AVE",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693464",
            "telephone_number": "214-727-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "HOLLY",
        "middle_name": "ANNE",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "31117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031161502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00295323",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "87163A",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031161505",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.