SARA HOLLIS PSY.D. NPI 1528049392

NPI Information

NPI: 1528049392
Provider Name: SARA HOLLIS, PSY.D.
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

PECOS Registration: Yes

Address:
1736E SUNSHINE ST 811
SPRINGFIELD, MO
ZIP 65804
Phone: (417) 882-4485
Get Directions

Sara Hollis, PSY.D. is a clinical psychologist in Springfield, MO. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. Sara Hollis, PSY.D. NPI is 1528049392. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1736E SUNSHINE ST 811
SPRINGFIELD, MO
ZIP 65804-334
Phone: (417) 882-4485
Fax: (417) 882-5517

The NPI 1528049392 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 11/9/2005 and was last updated on 9/3/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC0700X	Psychologist	Clinical	R0505	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	118660	OTHER	MISSOURI	BLUE CROSS BLUE SHIELD
2	18803	OTHER	MISSOURI	NEW DIRECTIONS
3	203760	OTHER	MISSOURI	MANAGED HEALTH NETWORK
4	7489134	OTHER	MISSOURI	AETNA
5	464393	OTHER	MISSOURI	VALUEOPTIONS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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