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

Q: 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.

Q: What is Lauren Holleb's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lauren Holleb was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

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: August 16, 2026.

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

On this page

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 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

Phone(207) 992-1970

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

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Other Names 1

Other Name (5)Dr. Lauren Holleb Surrette Phd

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.

NANCY DUONG

Student in an Organized Health Care Education/Training Program

1 COLLEGE CIR
BANGOR, ME 04401

Penobscot County (207) 941-7000

ARYANNA LEIGH BEAL

Student in an Organized Health Care Education/Training Program

1 COLLEGE CIR
BANGOR, ME 04401

Penobscot County (207) 941-7115

JAYNE ELIZABETH GILBERT THIBODEAU M.ED.

Counselor (Professional)

1 COLLEGE CIR, 101 PEABODY HALL
BANGOR, ME 04401

Penobscot County (207) 941-7184

KENDRA JANICE HAYWARD

Pharmacy (Institutional Pharmacy)

1 COLLEGE CIR
BANGOR, ME 04401

Penobscot County (207) 941-7000

PARVA RAHMANIAN

Pharmacy Technician

1 COLLEGE CIR
BANGOR, ME 04401

Penobscot County (000) 000-0000

XAFSA SHUTE

Registered Nurse

1 COLLEGE CIR
BANGOR, ME 04401

Penobscot County (601) 647-5820

MASON ROY ATC

Physical Medicine & Rehabilitation (Sports Medicine)

1 COLLEGE CIR
BANGOR, ME 04401

Penobscot County (207) 941-7021

MBINZE SUME NZUONKWELLE

Pharmacist

1 COLLEGE CIR
BANGOR, ME 04401

Penobscot County (202) 404-5606

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.