JESSICA LYNN HOLSTER PH.D.
NPI 1790046274
Clinical Neuropsychologist in Dallas, TX

Q: What is Jessica Holster's NPI number?

The NPI number for Jessica Holster is 1790046274. It was assigned to this individual provider in the NPPES registry on May 31, 2012.

Q: What is Jessica Holster's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Holster was last updated on December 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since May 31, 2012PECOS Enrolled

5323 HARRY HINES BLVD, DALLAS, TX 75390(214) 645-0624(214) 645-0078 Get Directions Write a Review

NPPES record last updated: December 1, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jessica Lynn Holster Ph.d. NPPES

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

JESSICA LYNN HOLSTER PH.D. (NPI 1790046274) is an individual clinical neuropsychologist in Dallas, Texas, licensed in Texas (36949) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790046274

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameJESSICA LYNN HOLSTERCredential: PH.D.

Location Address5323 HARRY HINES BLVDDallas, TX 75390-7201

Mailing AddressPo Box 845347Dallas, TX 75284-5347 · (214) 645-0624 · Fax (214) 645-0078

Phone(214) 645-0624

Fax(214) 645-0078

Sole ProprietorNo

Enumeration DateMay 31, 2012

Last NPPES UpdateDecember 1, 2014

✔ NPI 1790046274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in TX · 36949

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

5323 HARRY HINES BLVD, Dallas, TX 75390

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Lynn Holster Ph.d. 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 20

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

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