Individual provider Active NPI

Jason Holland, PH.D.

  • Clinical Psychologist
  • Gallatin, TN
National Provider Identifier
1912478108
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3590 Issued in TN
Practice address
118 Public SQ
Gallatin, TN 37066-2803
Phone
(615) 442-6229
Fax
(615) 675-0026
NPI assigned
Dec 16, 2018
Last updated
Mar 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3590 TN Primary
Forensic Psychologist 103TF0200X 3590 TN
Adult Development & Aging Psychologist 103TA0700X 3590 TN

Addresses

Primary practice location

118 Public SQ
Gallatin, TN 37066-2803

Mailing address

118 Public SQ
Gallatin, TN 37066-2803
Phone (615) 442-6229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20190215002395 TN Practitioner - Clinical Psychologist 2163760190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

118 Public SQ
Gallatin, TN 37066-2803
Phone (615) 675-0025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3590TNMDForensic Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespark PLLC Adult Development & Aging CurrentSince Jan 11, 2019 Accepting new patients
Meaningful Living, LLC Adult Development & Aging Current Accepting new patients

Locations

106 Public Sq
Ste 105
Gallatin, TN 37066
Phone (615) 675-0025

118 Public Sq
Gallatin, TN 37066
Phone (615) 442-6229

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1912478108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 PUBLIC SQ",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370662803",
            "telephone_number": "615-442-6229",
            "fax_number": "615-675-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 PUBLIC SQ",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "370662803",
            "telephone_number": "615-442-6229",
            "fax_number": "615-675-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "JASON",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-16",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "3590",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "TN",
            "license": "3590",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "TN",
            "license": "3590",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

Verify at the official NPI Registry.