AMY SUSAN HOLLEY PH.D.
NPI 1346558848
Psychologist - Clinical Child & Adolescent in Seattle, WA

Q: What is Amy Holley's NPI number?

The NPI number for Amy Holley is 1346558848. It was assigned to this individual provider in the NPPES registry on September 17, 2010. The provider is also known as Amy Susan Lewandowski Phd.

Q: What is Amy Holley's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Amy Holley was last updated on September 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 September 17, 2010PECOS Enrolled

4800 SAND POINT WAY NE, M/S W-9824, SEATTLE, WA 98105(206) 884-1429 Get Directions Write a Review

NPPES record last updated: September 4, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Amy Susan Holley Ph.d. NPPES

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

AMY SUSAN HOLLEY PH.D. (NPI 1346558848) is an individual clinical child & adolescent provider in Seattle, Washington, licensed in Washington (Y60145305) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346558848

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameAMY SUSAN HOLLEYCredential: PH.D.

Location Address4800 SAND POINT WAY NE, M/S W-9824Seattle, WA 98105-3901

Mailing Address4800 Sand Point Way Ne, M/s W-9824Seattle, WA 98105-3901 · (206) 884-1429

Phone(206) 884-1429

Sole ProprietorNo

Enumeration DateSeptember 17, 2010

Last NPPES UpdateSeptember 4, 2013

✔ NPI 1346558848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in WA · Y60145305

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

4800 SAND POINT WAY NE, Seattle, WA 98105

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Other Names 1

Former Name (1)Amy Susan Lewandowski Phd

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Susan Holley Ph.d. 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 Amy Holley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Professional Services

150 mi

Mental Health (Including Community Mental Health Center)

2525 SW FIRST AVE STE 1215
Portland, OR 97201

Reassigned Medicare billing, Oregon enrollment
2,212 clinicians in this Medicare group

NPI 1316354970 (503) 494-4745

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

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.

NALINI MALARKKAN MD

Anesthesiology

4800 SAND POINT WAY NE
SEATTLE, WA 98105

King County (206) 987-2728

MS. LINDA E EBLEN MA

Speech-Language Pathologist

4800 SAND POINT WAY NE, MAIL STOP W-6839
SEATTLE, WA 98105

King County (206) 987-6164

DR. JAMES TOLIVER BENNETT JR. M.D., PH.D.

Medical Genetics (Clinical Molecular Genetics)

4800 SAND POINT WAY NE, GENETIC MEDICINE
SEATTLE, WA 98105

King County (206) 987-2056

DR. LESLIE ANN DERVAN MD

Pediatrics (Pediatric Critical Care Medicine)

4800 SAND POINT WAY NE, MB.10.620
SEATTLE, WA 98105

King County (206) 987-0293

DR. INDI TREHAN MD

Pediatrics (Pediatric Infectious Diseases)

4800 SAND POINT WAY NE
SEATTLE, WA 98105

King County (206) 987-2000

MS. JENNIFER PATANO CNP

Nurse Practitioner (Pediatrics)

4800 SAND POINT WAY NE, MS O.7.720
SEATTLE, WA 98105

King County (206) 987-8949

MRS. SUSAN L HOLTZCLAW ARNP

Nurse Practitioner (Family)

4800 SAND POINT WAY NE, MAILSTOP T-2108
SEATTLE, WA 98105

King County (206) 987-5691

SHENG ZHOU MD

Otolaryngology (Pediatric Otolaryngology)

4800 SAND POINT WAY NE
SEATTLE, WA 98105

King County (206) 987-2105

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 Amy Holley's NPI number?

The NPI number for Amy Holley is 1346558848. It was assigned to this individual provider in the NPPES registry on September 17, 2010. The provider is also known as Amy Susan Lewandowski Phd.

Where is Amy Holley located?

Amy Holley practices at 4800 Sand Point Way NE M/S W-9824, Seattle, WA 98105. The listed phone number is (206) 884-1429.

What is Amy Holley's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Amy Holley enrolled in Medicare?

Yes. Amy Holley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amy Holley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Holley reassigns Medicare benefits to University Professional Services (Portland, OR). 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 Amy Holley'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 Amy Holley was last updated on September 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.