Organization Active NPI

Holloway Therapy Group, LLC

  • Clinical Social Worker
  • La Canada Flintridge, CA
National Provider Identifier
1548130073
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HOLLOWAY THERAPY GROUP, LLC
Practice address
4632 Hayman Avenue
La Canada-Flintridge, CA 91011-2427
Phone
(323) 854-7539
NPI assigned
Nov 10, 2025
Last updated
Nov 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Authorized official

Name
Dr. Ian Holloway, PHD, LCSW, MPHNPI 1063711521
Title
Owner
Phone
(323) 854-7539

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

4632 Hayman Avenue
La Canada-Flintridge, CA 91011-2427

Mailing address

4632 Hayman Avenue
La Canada-Flintridge, CA 91011-2427
Phone (323) 854-7539

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1762732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1548130073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4632 HAYMAN AVENUE",
            "city": "LA CANADA-FLINTRIDGE",
            "state": "CA",
            "postal_code": "910112427",
            "telephone_number": "323-854-7539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4632 HAYMAN AVENUE",
            "city": "LA CANADA-FLINTRIDGE",
            "state": "CA",
            "postal_code": "910112427",
            "telephone_number": "323-854-7539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLOWAY THERAPY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-11-10",
        "certification_date": "2025-09-14",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-854-7539",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCSW, MPH"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Canada Flintridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.