Active NPI
Kathryn Janette Holloway, PH.D.
- Clinical Psychologist
- Woodbridge, VA
National Provider Identifier
1881128288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810005364
- Practice address
- 3196 Rivanna CT
Woodbridge, VA 22192-3373 - Phone
- (805) 341-1389
- NPI assigned
- Apr 12, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY29542 | CA | |
| Clinical Psychologist | 103TC0700X | 0810005364 | VA | Primary |
Addresses
Primary practice location
3196 Rivanna CT
Woodbridge, VA 22192-3373
Mailing address
39169 Aldie Rd
Aldie, VA 20105-2005
Phone (805) 341-1389
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY29542 | CA | MD | Clinical Psychologist |
| 0810005364 | VA | MD | Clinical Psychologist |
| 29542 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748649600000",
"number": "1881128288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39169 ALDIE RD",
"city": "ALDIE",
"state": "VA",
"postal_code": "201052005",
"telephone_number": "805-341-1389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3196 RIVANNA CT",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221923373",
"telephone_number": "805-341-1389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLOWAY",
"first_name": "KATHRYN",
"middle_name": "JANETTE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-12",
"last_updated": "2025-05-31",
"certification_date": "2025-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY29542",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810005364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.