Dr Nicholas Holub, PSYD, MSW in Pittsford, NY - Medicare Psychologist Provider

Dr Nicholas Holub, PSYD, MSW is a medicare enrolled "Psychologist - Clinical" provider in Pittsford, New York. His current practice location is 30 Office Park Way Ste 1, Pittsford, New York. You can reach out to his office (for appointments etc.) via phone at (585) 673-2002.

Dr Nicholas Holub is licensed to practice in New York (license number 025522-01) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164620225.

Contact Information

	Dr Nicholas Holub, PSYD, MSW
	30 Office Park Way Ste 1, Pittsford, NY 14534-1734
	(585) 673-2002
	(585) 203-1927

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Nicholas Holub
Gender	Male
Speciality	Psychologist - Clinical
Location	30 Office Park Way Ste 1, Pittsford, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164620225
Provider Enumeration Date: 07/10/2007
Last Update Date: 10/06/2025

Medicare PECOS Information:

PECOS PAC ID: 7719352764
Enrollment ID: I20230405002185

Medical Identifiers

Medical identifiers for Dr Nicholas Holub such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164620225	NPI	-	NPPES
07680817	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TB0200X	Psychologist - Cognitive & Behavioral	025522-01 (New York)	Secondary
103TC2200X	Psychologist - Clinical Child & Adolescent	025522-01 (New York)	Secondary
103TF0200X	Psychologist - Forensic	025522-01 (New York)	Secondary
103TC0700X	Psychologist - Clinical	025522-01 (New York)	Primary
103TM1800X	Psychologist - Intellectual & Developmental Disabilities	025522-01 (New York)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Nicholas Holub allows following entities to bill medicare on his behalf.

Entity Name	Life Solutions Psychotherapy Lcsw Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629245758 PECOS PAC ID: 2860710233 Enrollment ID: O20150415000418

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nicholas Holub is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Nicholas Holub, PSYD, MSW 30 Office Park Way Ste 1, Pittsford, NY 14534-1734 Ph: (585) 673-2002	Dr Nicholas Holub, PSYD, MSW 30 Office Park Way Ste 1, Pittsford, NY 14534-1734 Ph: (585) 673-2002

Reviews and Comments

Psychologist in Pittsford, NY

Dr. Mark Gregory Brogan, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 40a Grove St # A, Pittsford, NY 14534 Phone: 585-234-9494 Fax: 585-383-0820
Dr. Jane E. Runion, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 10 Office Park Way, Pittsford, NY 14534 Phone: 585-383-1040 Fax: 585-586-5512
Dr. Mary E. Olsen-lanzafame, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 121 Sullys Trl, Suite 5, Pittsford, NY 14534 Phone: 585-732-5310 Fax: 585-495-2146
Dr. Marcy Ann Bush, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: One Lookwood Drive, Suite 100, Pittsford, NY 14534 Phone: 585-383-0030 Fax: 585-383-1858
Dr. James David Kestenbaum, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 29 Cambric Cir, Pittsford, NY 14534 Phone: 585-507-9908
Linda Mccabe, PYSD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4 Westin Ct, Pittsford, NY 14534 Phone: 415-335-2596

Dr Nicholas Holub, PSYD, MSW - Medicare Psychologist in Pittsford, NY