DR. KRISTEN ELAINE HOLDERLE PHD
NPI 1356420939
Psychologist in Pittsford, NY
About Dr. Kristen Elaine Holderle Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KRISTEN ELAINE HOLDERLE PHD (NPI 1356420939) is an individual psychologist in Pittsford, New York, licensed in New York (016808) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Kristen Elaine Holderle Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Kristen Holderle reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rochester, NY 14609
- Reassigned Medicare billing, New York enrollment
- 26 clinicians in this Medicare group
Rochester, NY 14620
- Reassigned Medicare billing, New York enrollment
- 1,624 clinicians in this Medicare group
Rochester, NY 14642
- Reassigned Medicare billing, New York enrollment
- 191 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.
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 Kristen Holderle's NPI number?
The NPI number for Kristen Holderle is 1356420939. It was assigned to this individual provider in the NPPES registry on November 3, 2006. The provider is also known as Kristen Holderle Davidson Phd.
Where is Kristen Holderle located?
Kristen Holderle practices at 1175 Pittsford Victor Rd Suite 100, Pittsford, NY 14534. The listed phone number is (585) 797-7084.
What is Kristen Holderle's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Kristen Holderle enrolled in Medicare?
Yes. Kristen Holderle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Kristen Holderle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Holderle reassigns Medicare benefits to 3 organizations: Adult Complex Care Center (Rochester, NY), University Of Rochester (Rochester, NY) and University Of Rochester Department Of Psychiatry Clinical Group (Rochester, 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 Kristen Holderle'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 Kristen Holderle was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.