DR. AMANDA HOLLY PH.D.
NPI 1922393099
Psychologist in Skokie, IL

Active since June 16, 2011Opted out of Medicare · through Jul 7, 2027
9855 WOODS DR, SUITE G105, SKOKIE, IL 60077(847) 966-9343(847) 966-9563 Get Directions Write a Review

NPPES record last updated: June 16, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Amanda Holly Ph.d. NPPES

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

DR. AMANDA HOLLY PH.D. (NPI 1922393099) is an individual psychologist in Skokie, Illinois, licensed in Illinois (071-007489) and active in the NPI registry since June 2011. She has opted out of Medicare through July 7, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1922393099
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. AMANDA HOLLYCredential: PH.D.
Location Address9855 WOODS DR, SUITE G105Skokie, IL 60077-1074
Mailing Address9855 Woods Dr, Suite G105Skokie, IL 60077-1074 · (847) 966-9343 · Fax (847) 966-9563
Fax(847) 966-9563
Sole ProprietorNo
Enumeration DateJune 16, 2011
NPI 1922393099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in IL · 071-007489
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
9855 WOODS DR, Skokie, IL 60077

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. Amanda Holly Ph.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 July 7, 2017 through July 7, 2027.

Opt-Out Effective DateJuly 7, 2017
Opt-Out In Effect ThroughJuly 7, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

Counselor (Professional)
9855 WOODS DR, STE. G105
SKOKIE, IL 60077

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 Amanda Holly's NPI number?

The NPI number for Amanda Holly is 1922393099. It was assigned to this individual provider in the NPPES registry on June 16, 2011.

Where is Amanda Holly located?

Amanda Holly practices at 9855 Woods Dr Suite G105, Skokie, IL 60077. The listed phone number is (847) 966-9343.

What is Amanda Holly's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Amanda Holly enrolled in Medicare?

No. Amanda Holly has opted out of Medicare through July 7, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Amanda Holly was last updated on June 16, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.