DR. ALEX HOLDAWAY PHD
NPI 1710657069
Psychologist - Clinical Child & Adolescent in Philadelphia, PA

Active since September 17, 2021PECOS Enrolled
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(267) 425-9675 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 7, 2026, Sep 17, 2021 (2 updates tracked since 2021).

About Dr. Alex Holdaway Phd NPPES

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

DR. ALEX HOLDAWAY PHD (NPI 1710657069) is an individual clinical child & adolescent provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS019029) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1710657069
Entity TypeIndividualMale
Primary Taxonomy103TC2200X
Provider Legal NameDR. ALEX HOLDAWAYCredential: PHD
Location Address3401 CIVIC CENTER BLVDPhiladelphia, PA 19104-4319
Mailing AddressPo Box 780125Philadelphia, PA 19178-0125 · (804) 922-4844
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 17, 2021
Last NPPES UpdateJanuary 7, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
NPI 1710657069 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
Licenses Licensed in PA · PS019029 Licensed in VA · 0810008966
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.
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Alex Holdaway Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628556685
PECOS Enrollment IDI20260130002539
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.

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.

Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

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 Alex Holdaway's NPI number?

The NPI number for Alex Holdaway is 1710657069. It was assigned to this individual provider in the NPPES registry on September 17, 2021.

Where is Alex Holdaway located?

Alex Holdaway practices at 3401 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (267) 425-9675.

What is Alex Holdaway's specialty?

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

Is Alex Holdaway enrolled in Medicare?

Yes. Alex Holdaway is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alex Holdaway was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.