1. Home
  2. Directory
  3. California
  4. Santa Rosa
  5. Psychiatry Neurology
  6. NPI Profile

MR. JASPER CORY HOLLINGSWORTH MD
NPI 1528076411
Psychiatry & Neurology - Child & Adolescent Psychiatry in Santa Rosa, CA

Active since August 04, 2006PECOS Enrolled
659 CHERRY ST, SANTA ROSA, CA 95404(707) 526-8300(707) 526-8310 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Jasper Cory Hollingsworth Md NPPES

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

MR. JASPER CORY HOLLINGSWORTH MD (NPI 1528076411) is an individual child & adolescent psychiatry provider in Santa Rosa, California, licensed in California (A068730) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528076411
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameMR. JASPER CORY HOLLINGSWORTHCredential: MD
Location Address659 CHERRY STSanta Rosa, CA 95404-4280
Mailing Address1026 Maria DrPetaluma, CA 94954-7439 · (707) 291-3536 · Fax (707) 766-9268
Phone(707) 526-8300
Fax(707) 526-8310
Sole ProprietorNo
Enumeration DateAugust 4, 2006
Last NPPES UpdateDecember 20, 2021
✔ NPI 1528076411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CA · A068730
Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License A068730 (CA)
659 CHERRY ST, Santa Rosa, CA 95404
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jasper Cory Hollingsworth Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK CHARNAS MFT
Marriage & Family Therapist
659 CHERRY ST
SANTA ROSA, CA 95404
Sonoma County (707) 526-8306
MRS. PAMELA A BOAZ PHD MFT
Marriage & Family Therapist
659 CHERRY ST
SANTA ROSA, CA 95404
Sonoma County (707) 526-8300
KATE RAMSEY, MFT
Marriage & Family Therapist
659 CHERRY ST, SUITE 206
SANTA ROSA, CA 95404
Sonoma County (415) 364-8747
DR. CHRISTY L SCHURMAN PHD
Psychologist (Clinical)
659 CHERRY ST
SANTA ROSA, CA 95404
Sonoma County (707) 526-8306
CLAUDIA ANN VIADRO MFT
Marriage & Family Therapist
659 CHERRY ST, SUITE 105
SANTA ROSA, CA 95404
Sonoma County (707) 332-9754
DENISE FREEMAN M.F.T.
Counselor (Mental Health)
659 CHERRY ST, SUITE 103
SANTA ROSA, CA 95404
Sonoma County (707) 573-3868
MS. PHYLLIS JANE HAIG MFT
Marriage & Family Therapist
659 CHERRY ST
SANTA ROSA, CA 95404
Sonoma County (707) 524-8144
MRS. JOSEPHINE LOWE MFT
Marriage & Family Therapist
659 CHERRY ST
SANTA ROSA, CA 95404
Sonoma County (707) 303-3254

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 Jasper Hollingsworth's NPI number?

The NPI number for Jasper Hollingsworth is 1528076411. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Jasper Hollingsworth located?

Jasper Hollingsworth practices at 659 Cherry St, Santa Rosa, CA 95404. The listed phone number is (707) 526-8300.

What is Jasper Hollingsworth's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Jasper Hollingsworth enrolled in Medicare?

Yes. Jasper Hollingsworth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jasper Hollingsworth was last updated on December 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.