Nicholas Holub, PSYD, MSW

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

025522-01 Issued in NY

Practice address

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

Phone

(585) 673-2002

Fax

(585) 203-1927

NPI assigned

Jul 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Nicholas Holub, Evolve Psychological Services, PLLC

  • Clinical Psychologist
  • Pittsford, NY
  • NPI 1043182926

  Cognitive & Behavioral

  NPD Authorized official
• Life Solutions Psychotherapy LCSW PLLC

  • Clinical Social Worker
  • Rochester, NY
  • NPI 1629245758
  Medicare reassignment

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1164620225",
    "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": {
        "last_name": "HOLUB",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "PSYD, MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "025522-01",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "025522-01",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "NY",
            "license": "025522-01",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "025522-01",
            "primary": true
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NY",
            "license": "025522-01",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07680817",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Marie Jurenko Herron, LMT
• Abigail R Hilkert, RBT
• Jordan R Hodge, DPT
• Debra S. Hoffman, PH.D.
• Kristen Elaine Holderle, PHD
• Martin Hoogendijk
• Robert Edwin Horn, MD
• Gary J. Horwitz, M.D.
• Eve Hosford, LCSW-R
• Darren C Houpt, MD

• Clinical Psychologist in Pittsford, NY
• Providers in Pittsford, NY by specialty
• Clinical Psychologist in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.