DR. LAUREN HOLLEB PHD
NPI 1366004251
Psychologist - Clinical Child & Adolescent in Bangor, ME

Active since July 01, 2019PECOS Enrolled
1 COLLEGE CIR, BANGOR, ME 04401(207) 992-1970 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 9, 2026, Jul 9, 2019, Jul 1, 2019 (3 updates tracked since 2019).

About Dr. Lauren Holleb Phd NPPES

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

DR. LAUREN HOLLEB PHD (NPI 1366004251) is an individual clinical child & adolescent provider in Bangor, Maine, licensed in Maine (PS1397) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Augusta, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1366004251
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDR. LAUREN HOLLEBCredential: PHD
Location Address1 COLLEGE CIRBangor, ME 04401-2999
Mailing Address92 Grant StBangor, ME 04401-3822 · (317) 946-5686
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJuly 1, 2019
Last NPPES UpdateJanuary 9, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2026
NPI 1366004251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License Licensed in ME · PS1397
Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

1 COLLEGE CIR, Bangor, ME 04401

Other Names 1

Other Name (5)Dr. Lauren Holleb Surrette Phd

Secondary Practice Location 1

Location 16 E Chestnut StAugusta, ME 04330-5758 · Phone (207) 623-2977 · Fax (207) 626-9374

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Lauren Holleb Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901389584
PECOS Enrollment IDI20260311003744
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
1 COLLEGE CIR
BANGOR, ME 04401
Student in an Organized Health Care Education/Training Program
1 COLLEGE CIR
BANGOR, ME 04401
Counselor (Professional)
1 COLLEGE CIR, 101 PEABODY HALL
BANGOR, ME 04401
Pharmacy (Institutional Pharmacy)
1 COLLEGE CIR
BANGOR, ME 04401
Pharmacy Technician
1 COLLEGE CIR
BANGOR, ME 04401
Registered Nurse
1 COLLEGE CIR
BANGOR, ME 04401
Physical Medicine & Rehabilitation (Sports Medicine)
1 COLLEGE CIR
BANGOR, ME 04401
Pharmacist
1 COLLEGE CIR
BANGOR, ME 04401

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 Holleb's NPI number?

The NPI number for Lauren Holleb is 1366004251. It was assigned to this individual provider in the NPPES registry on July 1, 2019. The provider is also known as Dr. Lauren Holleb Surrette Phd.

Where is Lauren Holleb located?

Lauren Holleb practices at 1 College Cir, Bangor, ME 04401. The listed phone number is (207) 992-1970.

What is Lauren Holleb's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Lauren Holleb enrolled in Medicare?

Yes. Lauren Holleb is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lauren Holleb was last updated on January 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.