DR. KIMBERLY PAIGE HOLLOWAY PSY.D.
NPI 1811326515
Psychologist in San Diego, CA

Active since November 04, 2013PECOS EnrolledAccepts Medicare Assignment
1550 HOTEL CIR N STE 450, SAN DIEGO, CA 92108(619) 692-1581(619) 692-1588 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 3, 2026, May 14, 2021, Apr 21, 2020 and 2 more (5 updates tracked since 2019).

About Dr. Kimberly Paige Holloway Psy.d. NPPES

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

DR. KIMBERLY PAIGE HOLLOWAY PSY.D. (NPI 1811326515) is an individual psychologist in San Diego, California, licensed in California (PSY30604) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1811326515
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KIMBERLY PAIGE HOLLOWAYCredential: PSY.D.
Location Address1550 HOTEL CIR N STE 450San Diego, CA 92108-2933
Mailing Address3835 N Freeway Blvd Ste 100Sacramento, CA 95834-1954
Fax(619) 692-1588
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 4, 2013
Last NPPES UpdateJune 3, 20265 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1811326515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in CA · PSY30604
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.
1550 HOTEL CIR N STE 450, San Diego, CA 92108

Other Identifiers 1

OtherW416CA · Pcsd Medicare #

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. Kimberly Paige Holloway Psy.d. 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.

PECOS PAC ID3870835622
PECOS Enrollment IDI20190429000524
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 Kimberly Holloway reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
5100 N 6TH ST, STE 135
Fresno, CA 93710
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Mark David Levine MD Professional Corporation
  • 329 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.

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.

Psychologist
1550 HOTEL CIR N STE 450
SAN DIEGO, CA 92108
Nurse Practitioner (Psychiatric/Mental Health)
1550 HOTEL CIR N STE 450
SAN DIEGO, CA 92108
Marriage & Family Therapist
1550 HOTEL CIR N STE 450
SAN DIEGO, CA 92108
Social Worker
1550 HOTEL CIR N STE 450
SAN DIEGO, CA 92108
Nurse Practitioner (Psychiatric/Mental Health)
1550 HOTEL CIR N STE 450
SAN DIEGO, CA 92108
Psychologist
1550 HOTEL CIR N STE 450
SAN DIEGO, CA 92108
Marriage & Family Therapist
1550 HOTEL CIR N STE 450
SAN DIEGO, CA 92108
Psychiatry & Neurology (Psychiatry)
1550 HOTEL CIR N STE 450
SAN DIEGO, CA 92108

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 Kimberly Holloway's NPI number?

The NPI number for Kimberly Holloway is 1811326515. It was assigned to this individual provider in the NPPES registry on November 4, 2013.

Where is Kimberly Holloway located?

Kimberly Holloway practices at 1550 Hotel Cir N Ste 450, San Diego, CA 92108. The listed phone number is (619) 692-1581.

What is Kimberly Holloway's specialty?

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

Is Kimberly Holloway enrolled in Medicare?

Yes. Kimberly Holloway 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 organization bills Medicare for Kimberly Holloway's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Holloway reassigns Medicare benefits to Mark David Levine, MD Fresno (Fresno, CA). 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 Kimberly Holloway'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 Kimberly Holloway was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.