LAUREN HOLLYWOOD DNP
NPI 1124673066
Nurse Practitioner - Psychiatric/Mental Health in New Haven, CT

Active since August 07, 2019Opted out of Medicare · through Mar 8, 2027
109 LEGION AVE, NEW HAVEN, CT 06519(203) 562-2264 Get Directions Write a Review

NPPES record last updated: March 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2020, Aug 7, 2019 (2 updates tracked since 2019).

About Lauren Hollywood Dnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAUREN HOLLYWOOD DNP (NPI 1124673066) is an individual psychiatric/mental health provider in New Haven, Connecticut, licensed in Connecticut (8343) and active in the NPI registry since August 2019. She has opted out of Medicare through March 8, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1124673066
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLAUREN HOLLYWOODCredential: DNP
Location Address109 LEGION AVENew Haven, CT 06519-5506
Mailing Address109 Legion AveNew Haven, CT 06519-5506 · (203) 668-3450
Sole ProprietorNo
Enumeration DateAugust 7, 2019
Last NPPES UpdateMarch 5, 20202 updates tracked since enumeration
NPPES CertifiedMarch 5, 2020
NPI 1124673066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CT · 8343
109 LEGION AVE, New Haven, CT 06519

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Lauren Hollywood Dnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 8, 2021 through March 8, 2027.

Opt-Out Effective DateMarch 8, 2021
Opt-Out In Effect ThroughMarch 8, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06519 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
109 LEGION AVE
NEW HAVEN, CT 06519
Social Worker (Clinical)
109 LEGION AVE
NEW HAVEN, CT 06519
Social Worker (Clinical)
109 LEGION AVE
NEW HAVEN, CT 06519
Social Worker (Clinical)
109 LEGION AVE
NEW HAVEN, CT 06519
Nurse Practitioner (Psychiatric/Mental Health)
109 LEGION AVE
NEW HAVEN, CT 06519
Counselor (Professional)
109 LEGION AVE
NEW HAVEN, CT 06519
Social Worker (Clinical)
109 LEGION AVE
NEW HAVEN, CT 06519
Nurse Practitioner (Psychiatric/Mental Health)
109 LEGION AVE
NEW HAVEN, CT 06519

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lauren Hollywood's NPI number?

The NPI number for Lauren Hollywood is 1124673066. It was assigned to this individual provider in the NPPES registry on August 7, 2019.

Where is Lauren Hollywood located?

Lauren Hollywood practices at 109 Legion Ave, New Haven, CT 06519. The listed phone number is (203) 562-2264.

What is Lauren Hollywood's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lauren Hollywood enrolled in Medicare?

No. Lauren Hollywood has opted out of Medicare through March 8, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lauren Hollywood was last updated on March 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.