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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. LAUREN DATTILO PHD
NPI 1972144285
Psychologist - Clinical in Portland, ME

Active since October 08, 2019PECOS Enrolled
53 EXCHANGE ST STE 401, PORTLAND, ME 04101(207) 492-7695 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 23, 2024, Jan 18, 2022, Oct 23, 2020 and 1 more (4 updates tracked since 2019).

About Dr. Lauren Dattilo Phd NPPES

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

DR. LAUREN DATTILO PHD (NPI 1972144285) is an individual clinical provider in Portland, Maine, licensed in Maine (PS2003) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1972144285
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LAUREN DATTILOCredential: PHD
Location Address53 EXCHANGE ST STE 401Portland, ME 04101-5034
Mailing Address46 Elm StTopsham, ME 04086-1418 · (207) 492-7695
Phone(207) 492-7695
Sole ProprietorNo
Enumeration DateOctober 8, 2019
Last NPPES UpdateJune 29, 20264 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
✔ NPI 1972144285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in ME · PS2003
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
53 EXCHANGE ST STE 401, Portland, ME 04101
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Secondary Practice Location 1

Location 1257 Deering Ave Ste 201Portland, ME 04103-4858 · Phone (207) 492-7695

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Providence Health Plan.Insurance ›

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

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04101 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
$169.96 typical visit price
range $56.28 – $169.96
Typical copayment $42.49 (range $14.07 – $42.49)
Most-billed visit code 99205
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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.

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 Dattilo's NPI number?

The NPI number for Lauren Dattilo is 1972144285. It was assigned to this individual provider in the NPPES registry on October 8, 2019.

Where is Lauren Dattilo located?

Lauren Dattilo practices at 53 Exchange St Ste 401, Portland, ME 04101. The listed phone number is (207) 492-7695.

What is Lauren Dattilo's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Lauren Dattilo enrolled in Medicare?

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

What insurance does Lauren Dattilo accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Providence Health Plan list Lauren Dattilo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lauren Dattilo was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.