DR. HOLLY M SPOTTS PSY.D.
NPI 1871757278
Psychologist - Clinical in Roseville, CA

Q: What is Holly Spotts's NPI number?

The NPI number for Holly Spotts is 1871757278. It was assigned to this individual provider in the NPPES registry on July 15, 2008.

Q: What is Holly Spotts's specialty?

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

Q: Is Holly Spotts enrolled in Medicare?

No. Holly Spotts has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Holly Spotts was last updated on December 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 July 15, 2008Opted out of Medicare · through Oct 1, 2026

1700 EUREKA RD STE 155, ROSEVILLE, CA 95661(916) 705-2896(916) 333-0623 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Dr. Holly M Spotts Psy.d. NPPES

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

DR. HOLLY M SPOTTS PSY.D. (NPI 1871757278) is an individual clinical provider in Roseville, California, licensed in California (PSY 22057) and active in the NPI registry since July 2008. She has opted out of Medicare through October 1, 2026.

NPPES Registry Identity

NPI1871757278

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. HOLLY M SPOTTSCredential: PSY.D.

Location Address1700 EUREKA RD STE 155Roseville, CA 95661-7786

Mailing AddressPo Box 506Folsom, CA 95763-0506 · (916) 705-2896

Phone(916) 705-2896

Fax(916) 333-0623

Sole ProprietorNo

Enumeration DateJuly 15, 2008

Last NPPES UpdateDecember 29, 2022

NPPES CertifiedDecember 29, 2022

✔ NPI 1871757278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in CA · PSY 22057✔ Licensed in MS · 54965

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.

Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License TPPY1062 (FL)

1700 EUREKA RD STE 155, Roseville, CA 95661

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Holly M Spotts Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2024 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2024

Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 11

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

MR. GAVIN JOHN WILLIAMS

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