EVAN DAVID HOLLOWAY PHD
NPI 1457911349
Psychologist in San Francisco, CA

Active since June 13, 2019PECOS Enrolled
1001 POTRERO AVE BLDG. 5, #6B, SAN FRANCISCO, CA 94110(415) 206-5270(415) 206-4722 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 14, 2023, Feb 2, 2023, Oct 16, 2020 and 1 more (4 updates tracked since 2019).

About Evan David Holloway Phd NPPES

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

EVAN DAVID HOLLOWAY PHD (NPI 1457911349) is an individual psychologist in San Francisco, California, licensed in California (33561) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457911349
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameEVAN DAVID HOLLOWAYCredential: PHD
Location Address1001 POTRERO AVE BLDG. 5, #6BSan Francisco, CA 94110-3518
Mailing Address1001 Potrero AveSan Francisco, CA 94110-3518 · (415) 206-5270 · Fax (415) 206-4722
Fax(415) 206-4722
Sole ProprietorNo
Enumeration DateJune 13, 2019
Last NPPES UpdateMarch 14, 20234 updates tracked since enumeration
NPPES CertifiedMarch 14, 2023
NPI 1457911349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · 33561
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.
Also ListedCounselorTaxonomy 101Y00000X

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Evan David Holloway Phd 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.

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 Evan Holloway's NPI number?

The NPI number for Evan Holloway is 1457911349. It was assigned to this individual provider in the NPPES registry on June 13, 2019.

Where is Evan Holloway located?

Evan Holloway practices at 1001 Potrero Ave Bldg. 5, #6b, San Francisco, CA 94110. The listed phone number is (415) 206-5270.

What is Evan Holloway's specialty?

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

Is Evan Holloway enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Evan Holloway was last updated on March 14, 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.