BRANDON ALAN HOLLISTER (NPI# 1578077459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578077459 |
| Entity Type | Individual |
| Full Name | BRANDON ALAN HOLLISTER |
| Credential | PH.D., L.L.C. |
| Practice Address |
11414 W Center Rd Omaha NE 68144-4486 |
| Mailing Address |
21410 Mcclellan Cir Gretna NE 68028-6910 |
| Practice Telephone | 4023338210 |
| Mailing Telephone | 4024607282 |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2017-11-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 943 | NE | Behavioral Health & Social Service Providers |
| Street Address |
11414 W CENTER RD |
| City | OMAHA |
| State | NE |
| Zip Code | 68144-4486 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063407518 | Noll Spine Rehabilitation and Orthopedic Physical Therapy, Inc | Specialist | 11414 W Center Rd, Ste 242, Omaha, NE 68144-4487 | 2005-09-12 |
| 1801349642 | Hope and Wellness Center | Counselor | 11414 W Center Rd, Suite 233, Omaha, NE 68144-4486 | 2016-07-28 |
| 1962873489 | Kim Norris Speech Therapy Clinic | Clinic/Center | 11414 W Center Rd, Suite 316, Omaha, NE 68144-4486 | 2015-10-09 |
| 1699190645 | Justina Marie Kolbe | Counselor | 11414 W Center Rd, Suite 300, Omaha, NE 68144-4486 | 2014-02-27 |
| 1003240169 | Denise O. Legg | Counselor | 11414 W Center Rd, Suite 233, Omaha, NE 68144-4486 | 2013-08-26 |
| 1396179602 | Theodore J. Delaet, Ph.d., P.C. | Psychologist | 11414 W Center Rd, Suite 243, Omaha, NE 68144-4486 | 2013-08-23 |
| 1932541018 | Wees & Low Orthodontics | Dentist | 11414 W Center Rd, Ste #334, Omaha, NE 68144-4486 | 2013-07-18 |
| 1740623057 | Omaha Insomnia and Psychiatric Services, LLC | Psychiatry & Neurology | 11414 W Center Rd, 300, Omaha, NE 68144-4486 | 2013-04-17 |
| 1982942397 | Epiphanal Moments Counseling Agency | Community/Behavioral Health | 11414 W Center Rd, Ste 325, Omaha, NE 68144-4486 | 2013-01-18 |
| 1306192125 | Stephanie Monica Stava | Social Worker | 11414 W Center Rd, Omaha, NE 68144-4486 | 2012-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720627292 | Jessica Wissink | Physical Therapist | 2275 South 132nd St, Omaha, NE 68144 | 2020-01-02 |
| 1881165397 | Elle Klink | Chiropractor | 2527 S 140th Street, Omaha, NE 68144 | 2018-12-10 |
| 1336649987 | Colton A Palmer | Nurse Practitioner | 11725 Arbor St Ste 230, Omaha, NE 68144 | 2018-02-20 |
| 1780121335 | Deborah Palmer | Massage Therapist | 2429 South 120th, Omaha, NE 68144 | 2017-01-20 |
| 1750833851 | Amanda Mcgary Tatro | Counselor | 11929 Elm St Suite 12a, Omaha, NE 68144 | 2016-10-25 |
| 1770946105 | Kindis Ward | Counselor | 13435 A. Street, Omaha, NE 68144 | 2016-04-02 |
| 1649679937 | Brian Douglas Smith | Physical Therapist | 13934 Gold Circle, Omaha, NE 68144 | 2014-08-22 |
| 1346587334 | Elite Professionals Home Care LLC | Home Health | 13306 A Street, Omaha, NE 68144 | 2013-01-10 |
| 1821345471 | Angelia D Henderson | Skilled Nursing Facility | 2525 S. 135th Ave, Omaha, NE 68144 | 2012-08-13 |
| 1073872123 | Midwest Physical Therapy Services, PC | Physical Therapist | 11640 Arbor Street #200, Omaha, NE 68144 | 2012-05-10 |
| Find all providers in zip 68144 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467001925 | Katrina M Cordts | Psychologist | 110 N. 175th St. Ste 2000, Omaha, NE 68118-3515 | 2019-09-08 |
| 1780245126 | Lindy M Fields | Psychologist | 4242 Farnam St Ste 247, Omaha, NE 68131-0003 | 2019-06-26 |
| 1275095416 | Arthur Robert Andrews IIi | Psychologist | 2412 Cuming St Ste 103, Omaha, NE 68131-1602 | 2019-04-05 |
| 1508354242 | Joshua Michael Brown | Psychologist | 6818 Grover St Ste 301a, Omaha, NE 68106 | 2018-04-27 |
| 1477922318 | Omaha Insomnia and Psychiatric Services, LLC | Psychologist | 13917 Gold Cir, Omaha, NE 68144-2359 | 2015-09-22 |
| 1821437443 | Stacey Lynn Delanoit | Psychologist | 11414 W Center Rd Ste 300, Omaha, NE 68144-4420 | 2013-06-17 |
| 1649523085 | Jennifer Anne Yalof | Psychologist | 42 Nd Dewey, Omaha, NE 68198-1023 | 2012-10-23 |
| 1609126960 | Heather L Jacobson | Psychologist | 4801 Underwood Ave Apt 1, Omaha, NE 68132-2439 | 2012-09-13 |
| 1245586023 | Michelle Rose Woidneck Kieffe | Psychologist | 11905 Arbor St., Omaha, NE 68144-2970 | 2012-07-30 |
| 1639486343 | Charles Drew Health Center, Inc | Psychologist | 3720 Florence Blvd, Omaha, NE 68110-1737 | 2010-09-02 |
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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.