HOLLY WELDON PHD
NPI 1003436023
Psychologist - Clinical in Rochester, NY

Q: What is Holly Weldon's NPI number?

The NPI number for Holly Weldon is 1003436023. It was assigned to this individual provider in the NPPES registry on April 20, 2020.

Q: What is Holly Weldon'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 Holly Weldon was last updated on July 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 20, 2020PECOS Enrolled

601 ELMWOOD AVE, ROCHESTER, NY 14642(585) 275-2100 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 19, 2024, Apr 20, 2020 (2 updates tracked since 2020).

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About Holly Weldon Phd NPPES

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

HOLLY WELDON PHD (NPI 1003436023) is an individual clinical provider in Rochester, New York, licensed in New York (025281) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1003436023

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameHOLLY WELDONCredential: PHD

Location Address601 ELMWOOD AVERochester, NY 14642-0001

Mailing Address601 Elmwood AveRochester, NY 14642-0001

Phone(585) 275-2100

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 20, 2020

Last NPPES UpdateJuly 19, 20242 updates tracked since enumeration

NPPES CertifiedJuly 19, 2024

✔ NPI 1003436023 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 NY · 025281

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.

601 ELMWOOD AVE, Rochester, NY 14642

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly Weldon Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991243941

PECOS Enrollment IDI20260424001169

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.

Medicare Billing Reassignment

Medicare enrollment records show Holly Weldon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Rochester Department Of Psychiatry Clinical Group

0.2 mi

Psychiatry

300 CRITTENDEN BLVD
Rochester, NY 14642

Reassigned Medicare billing, New York enrollment
191 clinicians in this Medicare group

NPI 1326088808 (585) 275-6733

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14642 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

$166.88 typical visit price

range $54.87 – $166.88

Typical copayment $41.72 (range $13.71 – $41.72)

Most-billed visit code 99205

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

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.

CARIE E BRADT RPA-C

Physician Assistant

601 ELMWOOD AVE
ROCHESTER, NY 14642

Monroe County (585) 275-6070

DR. RITA DADIZ DO

Pediatrics (Neonatal-Perinatal Medicine)

601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642

Monroe County (585) 275-7787

DR. SCOTT ROSS SCHIFFMAN M.D.

Radiology (Diagnostic Radiology)

601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642

Monroe County (585) 275-1128

SARAH ANNE ROSSI FNP

Nurse Practitioner (Family)

601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642

Monroe County (585) 279-5100

JIMENA CUBILLOS MD

Urology (Pediatric Urology)

601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642

Monroe County (585) 275-3342

MRS. ANNE SCHERBERGER KEEFER RN NP

Nurse Practitioner (Adult Health)

601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642

Monroe County (585) 275-5307

SCOTT OVERHOLT DDS

Student in an Organized Health Care Education/Training Program

601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642

Monroe County (585) 275-7978

MS. SARAH L AVERILL MD

Radiology (Diagnostic Radiology)

601 ELMWOOD AVE
ROCHESTER, NY 14642

Monroe County (585) 275-2100

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 Holly Weldon's NPI number?

The NPI number for Holly Weldon is 1003436023. It was assigned to this individual provider in the NPPES registry on April 20, 2020.

Where is Holly Weldon located?

Holly Weldon practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 275-2100.

What is Holly Weldon's specialty?

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

Is Holly Weldon enrolled in Medicare?

Yes. Holly Weldon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Holly Weldon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Weldon reassigns Medicare benefits to University Of Rochester Department Of Psychiatry Clinical Group (Rochester, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Holly Weldon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Holly Weldon was last updated on July 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.