JASON HOLLOWAY PSYD
NPI 1003583725
Psychologist in New York, NY

Active since August 30, 2021PECOS Enrolled
80 5TH AVE RM 1406, NEW YORK, NY 10011(914) 980-5688(833) 767-2931 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jason Holloway Psyd NPPES

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

JASON HOLLOWAY PSYD (NPI 1003583725) is an individual psychologist in New York, New York, licensed in New York (024522) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1003583725
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameJASON HOLLOWAYCredential: PSYD
Location Address80 5TH AVE RM 1406New York, NY 10011-8015
Mailing Address80 5th Ave Rm 1406New York, NY 10011-8015
Fax(833) 767-2931
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 30, 2021
Last NPPES UpdateMay 13, 2024
NPPES CertifiedMay 13, 2024
✔ NPI 1003583725 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 NY · 024522
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.
80 5TH AVE RM 1406, New York, NY 10011

Other Names 1

Former Name (1)Jane Holloway Psyd

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason Holloway Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820480387
PECOS Enrollment IDI20230404002504
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 Reassignments

2

Medicare enrollment records show Jason Holloway reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychologist
80 5TH AVE RM 1406
New York, NY 10011
  • Reassigned Medicare billing, New York enrollment
Addiction Medicine
1425 MADISON AVE
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 385 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
111 services14 patients

Other Providers at the Same Location NPPES 3

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

Social Worker (Clinical)
80 5TH AVE RM 1406, SUITE 1406
NEW YORK, NY 10011
Psychologist
80 5TH AVE RM 1406
NEW YORK, NY 10011
Psychologist (Clinical)
80 5TH AVE RM 1406
NEW YORK, NY 10011

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 Jason Holloway's NPI number?

The NPI number for Jason Holloway is 1003583725. It was assigned to this individual provider in the NPPES registry on August 30, 2021. The provider is also known as Jane Holloway Psyd.

Where is Jason Holloway located?

Jason Holloway practices at 80 5th Ave Rm 1406, New York, NY 10011. The listed phone number is (914) 980-5688.

What is Jason Holloway's specialty?

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

Is Jason Holloway enrolled in Medicare?

Yes. Jason Holloway is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jason Holloway's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Holloway reassigns Medicare benefits to 2 organizations: Jason Holloway Psyd PLLC (New York, NY) and Icahn School Of Medicine At Mount Sinai (New York, NY). Each 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 Jason Holloway'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 Jason Holloway was last updated on May 13, 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.