BRANDON HOLLISTER, PH.D., LLC (NPI# 1154836930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154836930 |
| Entity Type | Organization |
| Organization Name | BRANDON HOLLISTER, PH.D., LLC |
| Practice Address |
21410 Mcclellan Cir Gretna NE 68028-6910 |
| Practice Telephone | 4024607282 |
| Mailing Telephone | 4024607282 |
| Enumeration Date | 2017-12-03 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | BRANDON ALAN HOLLISTER (LICENSED PSYCHOLOGIST) |
| Authorized Official Telephone | 4024607282 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
943 | NE | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11414 W Center Rd Ste 243, Omaha, NE 681444487 | 4023338210 |
| Street Address |
21410 MCCLELLAN CIR |
| City | GRETNA |
| State | NE |
| Zip Code | 68028-6910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407336258 | Julia Rose Smith | Speech-Language Pathologist | 700 South, Us-6, Gretna, NE 68028 | 2018-08-20 |
| 1093235012 | Harmony Rae Ames | Speech-Language Pathologist | 11705 S. 216th Street, Gretna, NE 68028 | 2017-06-21 |
| 1285003517 | Mari Monono | Speech-Language Pathologist | 11717 S. 216th St.2, Gretna, NE 68028 | 2015-09-16 |
| 1275967655 | Reichert Family Dentistry | Dentist | 11812 Standing Stone Drive, Gretna, NE 68028 | 2013-08-21 |
| 1124366851 | U-save Pharmacy Inc | Pharmacy | 611 N Highway 6, Gretna, NE 68028 | 2013-01-31 |
| 1225309115 | Gretna Volunteer Fire and Rescue Department | Ambulance | 11175 S. 204th St, Gretna, NE 68028 | 2012-01-24 |
| 1568781722 | Carrie Ann Mcgleinnaiss | Pharmacist | 11350 Wickersham Blvd, Wal-mart Pharmacy, Gretna, NE 68028 | 2010-05-26 |
| 1861657249 | Mosaic Inc | Day Training/Habilitation Specialist | 913 Village Square, Gretna, NE 68028 | 2008-07-24 |
| 1730224189 | Best In Vision | Eyewear Supplier (Equipment, not the service) | 11532 Willow Park Dr., Suite 500, Gretna, NE 68028 | 2007-02-21 |
| 1225173669 | Andria Nicole Louis | Optometrist | 11532 Willow Park Drive, Suite 500, Gretna, NE 68028 | 2007-02-21 |
| Find all providers in zip 68028 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
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| 1609159375 | Ramy Corporation | Clinic/Center | 252 Hector Ave Ste B, Gretna, LA 70056-2548 | 2011-09-20 |
| 1962663542 | Vcphcs V, LLC | Clinic/Center | 1141 Whitney Avenue, Building 4, Gretna, LA 70056 | 2008-06-17 |
| 1073082780 | Center for Primary Care and Behavioral Health Services | Clinic/Center | 252 Hector Ave Ste A, Gretna, LA 70056-2548 | 2018-11-26 |
| 1245756238 | Brightway Mental Health Clinic | Clinic/Center | 252 Hector Ave, Gretna, LA 70056-2548 | 2017-08-21 |
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| 1093337610 | Rubango International, LLC | Clinic/Center | 1905 Harney St Ste 714, Omaha, NE 68102-2314 | 2020-05-18 |
| 1417577990 | Barnes Counseling and Consulting LLC | Clinic/Center | 20170 D St, Omaha, NE 68130-5076 | 2020-04-24 |
| 1710521398 | Michelle Godfrey, LLC | Clinic/Center | 1904 South St Ste 105, Blair, NE 68008-1964 | 2019-11-06 |
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| 1538712492 | Midtown Health Center, Inc. | Clinic/Center | 405 E 8th St, Madison, NE 68748-6319 | 2019-07-19 |
| 1932752896 | Midtown Health Center, Inc. | Clinic/Center | 1205 S 2nd St, Norfolk, NE 68701-6323 | 2019-07-19 |
| 1063065928 | Midtown Health Center, Inc. | Clinic/Center | 1101 N 18th St, Norfolk, NE 68701-2523 | 2019-07-19 |
| 1235782194 | Midtown Health Center, Inc. | Clinic/Center | 1106 W Phillip Ave, Norfolk, NE 68701-4921 | 2019-07-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.