KERRY L. HOLLAND PH.D.
NPI 1811960644
Psychologist - Clinical in Johnson City, TN

Q: What is Kerry Holland's NPI number?

The NPI number for Kerry Holland is 1811960644. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Q: What is Kerry Holland's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Kerry Holland was last updated on July 18, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 10, 2006PECOS Enrolled

807 UNIVERSITY PKWY, 139 LUCILLE CLEMENT HALL, JOHNSON CITY, TN 37614(423) 439-7778(423) 439-7780 Get Directions Write a Review

NPPES record last updated: July 18, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Kerry L. Holland Ph.d. NPPES

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

KERRY L. HOLLAND PH.D. (NPI 1811960644) is an individual clinical provider in Johnson City, Tennessee, licensed in Tennessee (P0000002099) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811960644

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameKERRY L. HOLLANDCredential: PH.D.

Location Address807 UNIVERSITY PKWY, 139 LUCILLE CLEMENT HALLJohnson City, TN 37614-6500

Mailing Address807 University Pkwy, Box 70416, EtsuJohnson City, TN 37614-6500 · (423) 439-7778 · Fax (423) 439-7780

Phone(423) 439-7778

Fax(423) 439-7780

Sole ProprietorYes

Enumeration DateFebruary 10, 2006

Last NPPES UpdateJuly 18, 2012

✔ NPI 1811960644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in TN · P0000002099

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

807 UNIVERSITY PKWY, Johnson City, TN 37614

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Other Identifiers 1

Medicare ID-Type Unspecified3981928TN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kerry L. Holland 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37614 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$160.89 typical visit price

range $52.64 – $160.89

Typical copayment $40.22 (range $13.16 – $40.22)

Most-billed visit code 99205

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.