NPIMap

Organization Active NPI

Holladay Psychological Services PLLC

  • Clinical Psychologist
  • Holladay, UT
National Provider Identifier
1770124893
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
HOLLADAY PSYCHOLOGICAL SERVICES PLLC
Doing business as
Holladay Psychological Services PLLC
Practice address
2040 E Murray Holladay Rd Ste 220
Holladay, UT 84117-5123
Phone
(801) 679-3225
Fax
(385) 695-2407
NPI assigned
Sep 30, 2019
Last updated
Sep 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Authorized official

Name
Dr. Emily Merrill Harris, PH.D.NPI 1578892501
Title
Owner
Phone
(801) 703-1629

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2040 E Murray Holladay Rd Ste 220
Holladay, UT 84117-5123

Mailing address

2040 E Murray Holladay Rd Ste 220
Holladay, UT 84117-5123
Phone (801) 679-3225

Other names 1

  • Holladay Psychological Services PLLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1770124893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 E MURRAY HOLLADAY RD STE 220",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841175123",
            "telephone_number": "801-679-3225",
            "fax_number": "385-695-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 E MURRAY HOLLADAY RD STE 220",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841175123",
            "telephone_number": "801-679-3225",
            "fax_number": "385-695-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLADAY PSYCHOLOGICAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "MERRILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "801-703-1629",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.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": "Holladay Psychological Services PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holladay, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.