BRANDON HOLLISTER, PH.D., LLC
NPI 1154836930
Clinic/Center - Mental Health (Including Community Mental Health Center) in Gretna, NE

Active since December 03, 2017
21410 MCCLELLAN CIR, GRETNA, NE 68028(402) 460-7282 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Dec 3, 2017 (2 updates tracked since 2017).

About Brandon Hollister, Ph.d., Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDON HOLLISTER, PH.D., LLC (NPI 1154836930) is a healthcare organization registered as a mental health (including community mental health center) in Gretna, Nebraska and active in the NPI registry since December 2017. The organization maintains a secondary practice location in Omaha and lists Brandon Alan Hollister, Licensed Psychologist, as its authorized official.

NPPES Registry Identity

NPI1154836930
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBRANDON HOLLISTER, PH.D., LLC
Location Address21410 MCCLELLAN CIRGretna, NE 68028-6910
Mailing Address21410 Mcclellan CirGretna, NE 68028-6910 · (402) 460-7282
Organization SubpartNo
Authorized OfficialBrandon Alan HollisterLicensed Psychologist · (402) 460-7282
Enumeration DateDecember 3, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1154836930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License Licensed in NE · 943
21410 MCCLELLAN CIR, Gretna, NE 68028

Secondary Practice Location 1

Location 111414 W Center Rd Ste 243Omaha, NE 68144-4487 · Phone (402) 333-8210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Hollister, Ph.D., LLC's NPI number?

The NPI number for Brandon Hollister, Ph.D., LLC is 1154836930. It was assigned to this organization in the NPPES registry on December 3, 2017.

Where is Brandon Hollister, Ph.D., LLC located?

Brandon Hollister, Ph.D., LLC is located at 21410 Mcclellan Cir, Gretna, NE 68028. The listed phone number is (402) 460-7282.

What is Brandon Hollister, Ph.D., LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Brandon Hollister, Ph.D., LLC was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.