DR. NICHOLAS HOLUB PSYD, MSW
NPI 1164620225
Psychologist - Clinical in Pittsford, NY

Q: What is Nicholas Holub's NPI number?

The NPI number for Nicholas Holub is 1164620225. It was assigned to this individual provider in the NPPES registry on July 10, 2007.

Q: What is Nicholas Holub'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 Nicholas Holub was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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 10, 2007PECOS Enrolled

30 OFFICE PARK WAY STE 1, PITTSFORD, NY 14534(585) 673-2002(585) 203-1927 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 6, 2025, Sep 21, 2025 (2 updates tracked since 2025).

On this page

About Dr. Nicholas Holub Psyd, Msw NPPES

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

DR. NICHOLAS HOLUB PSYD, MSW (NPI 1164620225) is an individual clinical provider in Pittsford, New York, licensed in New York (025522-01) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164620225

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. NICHOLAS HOLUBCredential: PSYD, MSW

Location Address30 OFFICE PARK WAY STE 1Pittsford, NY 14534-1734

Mailing Address30 Office Park Way Ste 1Pittsford, NY 14534-1734 · (585) 673-2002 · Fax (585) 203-1927

Phone(585) 673-2002

Fax(585) 203-1927

Sole ProprietorNo

Enumeration DateJuly 10, 2007

Last NPPES UpdateOctober 6, 20252 updates tracked since enumeration

NPPES CertifiedOctober 6, 2025

✔ NPI 1164620225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NY · 025522-01

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 · Cognitive & BehavioralTaxonomy 103TB0200X · License 025522-01 (NY)

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 025522-01 (NY)

Also ListedPsychologist · ForensicTaxonomy 103TF0200X · License 025522-01 (NY)

Also ListedPsychologist · Intellectual and Developmental DisabilitiesTaxonomy 103TM1800X · License 025522-01 (NY)

30 OFFICE PARK WAY STE 1, Pittsford, NY 14534

Open in Google Maps ↗

Other Identifiers 1

Medicaid07680817NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicholas Holub Psyd, Msw 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.

Medicare Billing Reassignment

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

Life Solutions Psychotherapy Lcsw PLLC

13 mi

Clinical

20 ARCAMPUS DRIVE
Rochester, NY 14612

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

NPI 1629245758 (585) 225-9720

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 14534 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

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

DR. NICHOLAS HOLUB, EVOLVE PSYCHOLOGICAL SERVICES, PLLC

Psychologist (Clinical)

30 OFFICE PARK WAY STE 1
PITTSFORD, NY 14534

Monroe County (585) 673-2002

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 Nicholas Holub's NPI number?

The NPI number for Nicholas Holub is 1164620225. It was assigned to this individual provider in the NPPES registry on July 10, 2007.

Where is Nicholas Holub located?

Nicholas Holub practices at 30 Office Park Way Ste 1, Pittsford, NY 14534. The listed phone number is (585) 673-2002.

What is Nicholas Holub's specialty?

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

Is Nicholas Holub enrolled in Medicare?

Yes. Nicholas Holub is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicholas Holub's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Holub reassigns Medicare benefits to Life Solutions Psychotherapy Lcsw PLLC (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 Nicholas Holub's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Holub accept?

Health plans from Oscar Health list Nicholas Holub as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicholas Holub was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.