Douglas Brian Holl, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD61091596 Issued in WA

Practice address

104 W 5TH Ave
Spokane, WA 99204-4820

Phone

(509) 992-1888

Fax

(509) 293-6508

NPI assigned

May 6, 2007

Sex

Male

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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Loma Linda University School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spokane Behavioral Health LLCGroup PAC ID 2961757489, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dholl53702@direct.llu.edu

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.

• Spokane Behavioral Health LLC

  • Psychiatric Hospital
  • Spokane, WA
  • NPI 1932698107
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1780896191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10737 LAUREL ST",
            "address_2": "SUITE #230",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303837",
            "telephone_number": "909-989-5556",
            "fax_number": "909-989-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W 5TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992044820",
            "telephone_number": "509-992-1888",
            "fax_number": "509-293-6508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLL",
        "first_name": "DOUGLAS",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-06",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD61091596",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara L Holden, DPT
• Shannon L Holden, PHARMD, RPH
• Julia Holder
• Terasa Shalene Holgerson
• Holistic Behavioral Health
• Erin Rose Holland-Wolf, MSN, RN, APRN, CCRN
• Rebecca Jo Holland, LPC, LMHCA
• Kaylor William Hollen, RN
• Cindy K Hollenbaugh, M.D.
• Garret Holley

• Psychiatry Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.