DR. MARK HOLLAND (NPI# 1265629430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265629430 |
| Entity Type | Individual |
| Full Name | DR. MARK HOLLAND |
| Credential | PSYD |
| Practice Address |
2435 King Blvd Suite 313 Casper WY 82604-3166 |
| Practice Telephone | 3074624876 |
| Practice Fax Number | 3073373492 |
| Mailing Telephone | 3074624876 |
| Mailing Fax Number | 3073373492 |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2014-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
544 | WY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578691234 | Mark T Holland | Chiropractor | 605 1st Capitol Dr, Saint Charles, MO 63301-2727 | 2007-03-02 |
| 1962541326 | Mark E. Holland | Internal Medicine | 8048 Rutledge Pike, Rutledge, TN 37861 | 2007-02-05 |
| 1194795526 | Mark S Holland | Nurse Anesthetist, Certified Registered | 25 E Street Ste D1, Hickam, HI 96853-5418 | 2006-01-26 |
| 1578568812 | Mark C Holland | Family Medicine | 4404 80th St Ne, Marysville, WA 98270-3427 | 2005-06-14 |
| 1942798970 | Mark Holland | Counselor | 800 N Main St, Malta, OH 43758-9019 | 2018-04-25 |
| 1346400181 | Mark John Holland | General Practice | 2301 San Pedro Dr Ne, Suite B, Albuquerque, NM 87110-4119 | 2008-06-16 |
| Street Address |
2435 KING BLVD SUITE 313 |
| City | CASPER |
| State | WY |
| Zip Code | 82604-3166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851624662 | Park Ridge Behavioral Healthcare, LLC | Psychologist | 2435 King Blvd, Suite 313, Casper, WY 82604-3166 | 2009-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518489335 | Sasha Marie Baker | Behavior Technician | 945 Pendell Blvd, Casper, WY 82604 | 2017-07-13 |
| 1083161566 | Lori Norby | Registered Nurse | 6641 Monarch Ct, Casper, WY 82604 | 2016-09-01 |
| 1245601020 | Living for A Change LLC | Social Worker | 2045 Laramie Ave, Casper, WY 82604 | 2015-10-19 |
| 1225406754 | Patricia Masters | Respite Care | 6678 Bailey Place, Casper, WY 82604 | 2015-09-15 |
| 1619364437 | Daniel Dalen | Specialist/Technologist | 2342 Odell, Casper, WY 82604 | 2015-04-20 |
| 1568883064 | Rocky Mountain Holdings, LLC | Ambulance | 7798 Fuller St, Casper, WY 82604 | 2013-12-31 |
| 1902191638 | Diana Pauline Quealy-berge | Counselor | 3920 Swingle, Casper, WY 82604 | 2011-06-10 |
| 1093938839 | Kelly L Heenan | Counselor | 3741 Arroyo Drive, Casper, WY 82604 | 2007-04-10 |
| 1649393943 | Leslie Keeler | Case Manager/Care Coordinator | 630 10 Mile Road, Casper, WY 82604 | 2007-04-09 |
| 1386778223 | Wyoming Health Fairs | Technician, Pathology | 115 South Elm St, Casper, WY 82604 | 2007-03-15 |
| Find all providers in zip 82604 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609140706 | Casper Family Connections | Psychologist | 500 S Wolcott St Ste 102, Casper, WY 82601-2882 | 2012-03-07 |
| 1134264237 | Frederick H Lindberg | Psychologist | 136 S Washington St, Casper, WY 82601-2739 | 2007-02-20 |
| 1235108994 | Eric H Siiteri | Psychologist | 111 S Jefferson St, Casper, WY 82601-2665 | 2006-03-15 |
| 1285153189 | Jason Tyser | Psychologist | 2435 King Blvd Ste 313, Casper, WY 82604-3169 | 2017-09-12 |
| 1578833778 | Michael John Kurtz | Psychologist | 1430 Wilkins Cir, Casper, WY 82601-1336 | 2012-01-04 |
| 1952536120 | Melissa Leeann Jenkins | Psychologist | 5000 Blackmore Rd, Casper, WY 82609-3345 | 2009-05-18 |
| 1023289485 | Abby Bowen-rodda Ph.d., PC | Psychologist | 940 E 3rd St, Ste 107, Casper, WY 82601-3237 | 2008-03-13 |
| 1013060193 | Abby Bowen-rodda | Psychologist | 940 E 3rd St, Ste 214, Casper, WY 82601-3237 | 2007-01-19 |
| 1932178696 | Eric Siiteri Phd LLC | Psychologist | 111 S Jefferson St, Casper, WY 82601-2665 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639700750 | Unaccompanied Student Initiative | Psychologist | 910 W Fox Farm Rd, Cheyenne, WY 82007-2674 | 2020-01-28 |
| 1730731696 | Shaina Smith | Psychologist | 1401 Airport Pkwy Ste 240, Cheyenne, WY 82001-1542 | 2019-07-11 |
| 1538623020 | Caitilin Barrett | Psychologist | 1215 Jessi Dr, Cheyenne, WY 82009-1880 | 2019-01-29 |
| 1043756174 | Maribeth L. Hesser | Psychologist | 6675 N Upper Cascade Dr, Jackson, WY 83001-9390 | 2017-01-12 |
| 1811346943 | Bryan David Peltier | Psychologist | 125 Fox Hills Dr, Green River, WY 82935-7100 | 2016-06-09 |
| 1558760207 | Victoria Menghetti Smith | Psychologist | 3510 N Lake Creek Dr, Wilson, WY 83014-9695 | 2014-08-19 |
| 1508283946 | Christine Mckibbin | Psychologist | 2524 Dover Dr, Laramie, WY 82072-2990 | 2014-03-24 |
| 1417246869 | John C Dolores | Psychologist | 5303 Mountain Rd, Apt C, Cheyenne, WY 82009-5049 | 2011-04-06 |
| 1164726766 | Marc Douglas Mclaughlin | Psychologist | 205 S Broadway Ave, Riverton, WY 82501-4349 | 2010-12-22 |
| 1295060614 | Todd M Wahl Psyd LLC | Psychologist | 2315 Dunn Ave # 6, Cheyenne, WY 82001-3214 | 2009-10-03 |
| Find all providers with the same taxonomy | ||||
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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.