Organization Active NPI

Dr. Nicholas Holub, Evolve Psychological Services, PLLC

  • Clinical Psychologist
  • Pittsford, NY
National Provider Identifier
1043182926
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DR. NICHOLAS HOLUB, EVOLVE PSYCHOLOGICAL SERVICES, PLLC
Practice address
30 Office Park Way Ste 1
Pittsford, NY 14534-1734
Phone
(585) 673-2002
Fax
(585) 203-1927
NPI assigned
Sep 22, 2025
Last updated
Oct 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Nicholas Holub, PSYD, MSWNPI 1164620225
Title
Authorized Official/ Access Manager
Phone
(585) 727-1920

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Development & Aging Psychologist 103TA0700X NU
Cognitive & Behavioral Psychologist 103TB0200X NU
Clinical Psychologist 103TC0700X NU Primary
Clinical Child & Adolescent Psychologist 103TC2200X NU
Forensic Psychologist 103TF0200X NU
Intellectual & Developmental Disabilities Psychologist 103TM1800X NU
Group Psychotherapy Psychologist 103TP2701X NU
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

30 Office Park Way Ste 1
Pittsford, NY 14534-1734

Mailing address

30 Office Park Way Ste 1
Pittsford, NY 14534-1734
Phone (585) 673-2002

National Provider Directory

National Provider Directory

Locations

30 Office Park Way
Ste 1
Pittsford, NY 14534
Phone (585) 673-2002

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1043182926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 OFFICE PARK WAY STE 1",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145341734",
            "telephone_number": "585-673-2002",
            "fax_number": "585-203-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 OFFICE PARK WAY STE 1",
            "city": "PITTSFORD",
            "state": "NY",
            "postal_code": "145341734",
            "telephone_number": "585-673-2002",
            "fax_number": "585-203-1927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. NICHOLAS HOLUB, EVOLVE PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "HOLUB",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/ ACCESS MANAGER",
        "authorized_official_telephone_number": "585-727-1920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, MSW"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.