DR. GREGORY PAUL HOLLIS (NPI# 1982855276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982855276 |
| Entity Type | Individual |
| Full Name | DR. GREGORY PAUL HOLLIS |
| Credential | PH.D. |
| Practice Address |
12647 Olive Blvd Suite 600 Saint Louis MO 63141-6393 |
| Mailing Address |
3 Myrtle Bank Rd Hilton Head Island SC 29926-1809 |
| Practice Telephone | 8003253982 |
| Mailing Telephone | 8432900253 |
| Enumeration Date | 2008-10-05 |
| Last Update Date | 2008-10-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PSY001417 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114215290 | Gregory D Hollis | Physician Assistant | 3100 E Fletcher Ave, Tampa, FL 33613-4613 | 2011-07-11 |
| Street Address |
12647 OLIVE BLVD SUITE 600 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-6393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972506673 | Paul F. Howard | Internal Medicine | 12647 Olive Blvd, Ste 600, Saint Louis, MO 63141-6345 | 2005-05-27 |
| 1548734353 | Apiphanie Lujan | Counselor | 12647 Olive Blvd, Saint Louis, MO 63141-6393 | 2019-01-15 |
| 1881115624 | Trenise Lynette Brown | Social Worker | 12647 Olive Blvd, Saint Louis, MO 63141-6393 | 2017-07-01 |
| 1336676006 | Amanda Brown Kidwell | Counselor | 12647 Olive Blvd, Ste 200, Saint Louis, MO 63141-6393 | 2017-05-12 |
| 1346776291 | Jessica Brown | Counselor | 12647 Olive Blvd, Saint Louis, MO 63141-6393 | 2017-05-11 |
| 1356877195 | Anne Tichacek | Social Worker | 12647 Olive Blvd, Saint Louis, MO 63141-6393 | 2017-05-11 |
| 1689100901 | Jenny Deutsch | Social Worker | 12647 Olive Blvd, Suite 200, Saint Louis, MO 63141-6393 | 2017-05-05 |
| 1932635299 | Qiyun Gao | Social Worker | 12647 Olive Blvd, Suite 200, Saint Louis, MO 63141-6393 | 2017-05-05 |
| 1831625169 | Lisa M Flamion | Counselor | 12647 Olive Blvd, Suite 200, Saint Louis, MO 63141-6393 | 2017-05-05 |
| 1396271664 | Jennifer L. Brown | Social Worker | 12647 Olive Blvd, Suite 200, Saint Louis, MO 63141-6393 | 2017-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144873159 | Stephanie Ross Potts | Clinical Neuropsychologist | 1027 Bellevue Ave Ste 142, Saint Louis, MO 63117-1851 | 2019-07-18 |
| 1508259003 | Maria Catherine Rothhaar | Clinical Neuropsychologist | 522 N New Ballas Rd Ste 121, Saint Louis, MO 63141-6820 | 2015-03-09 |
| 1689852253 | Stacey Woodrome | Clinical Neuropsychologist | 3800 Park Ave Fl 2, Saint Louis, MO 63110-2514 | 2008-02-06 |
| 1700802022 | Nicole J Werner | Clinical Neuropsychologist | 4444 Forest Park Ave Fl 2, 2nd Fl, Saint Louis, MO 63108-2212 | 2006-07-14 |
| 1477539237 | Rehab Care Group East Inc | Clinical Neuropsychologist | 7733 Forsyth Blvd, Suite 2300, Saint Louis, MO 63105-1817 | 2005-12-22 |
| 1366910572 | Evan Ti Schulze | Clinical Neuropsychologist | 1438 S Grand Blvd, Saint Louis, MO 63104-1027 | 2018-11-06 |
| 1912374398 | Victoria Herberger | Clinical Neuropsychologist | 615 S New Ballas Rd, Mercy Neuropsychology Service, Saint Louis, MO 63141-8221 | 2015-09-01 |
| 1013317700 | Christopher Bosworth | Clinical Neuropsychologist | 1 Childrens Pl, Suite 3n-14, Saint Louis, MO 63110-1002 | 2014-08-29 |
| 1871929687 | Gabriel Araujo | Clinical Neuropsychologist | 1 Childrens Pl, Suite 3 South 32, Saint Louis, MO 63110-1002 | 2013-09-25 |
| 1861771206 | Phillip D. Ruppert | Clinical Neuropsychologist | 1438 S Grand Blvd, Saint Louis, MO 63104-1027 | 2011-08-16 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63141 |
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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.