DANIEL C HOLLAND PH.D., MPH, ABPP
NPI 1881841708
Clinical Neuropsychologist in Waite Park, MN

Q: What is the provider's specialty?

The provider's specialty is Clinical Neuropsychologist with taxonomy code 103G00000X.

Active since August 21, 2008PECOS Enrolled

110 2ND ST S, SUITE 301, WAITE PARK, MN 56387(952) 956-2491 Get Directions Write a Review

NPPES record last updated: July 7, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Daniel C Holland Ph.d., Mph, Abpp NPPES

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

DANIEL C HOLLAND PH.D., MPH, ABPP (NPI 1881841708) is an individual clinical neuropsychologist in Waite Park, Minnesota, licensed in Minnesota (LP 5254) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881841708

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameDANIEL C HOLLANDCredential: PH.D., MPH, ABPP

Location Address110 2ND ST S, SUITE 301Waite Park, MN 56387-1662

Mailing Address4817 Dunberry LnEdina, MN 55435-1536 · (952) 956-2491

Phone(952) 956-2491

Sole ProprietorNo

Enumeration DateAugust 21, 2008

Last NPPES UpdateJuly 7, 2013

✔ NPI 1881841708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

Licenses✔ Licensed in MN · LP 5254✔ Licensed in MI · 6301009538✔ Licensed in IL · 071.005004

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.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License LP 5254 (MN), 6301009538 (MI), 071.005004 (IL)

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License LP 5254 (MN)

Also ListedPsychologist · Intellectual and Developmental DisabilitiesTaxonomy 103TM1800X · License LP 5254 (MN)

110 2ND ST S, Waite Park, MN 56387

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniel C Holland Ph.d., Mph, Abpp 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.