Active NPI
Terrell David Holloway, MD
- Psychiatry Physician
- Milford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 70102
- Practice address
- 472 Wheelers Farms Rd Ste 306
Milford, CT 06461-9109 - Phone
- (203) 701-9737
- NPI assigned
- Apr 4, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 70102 | CT | Primary |
Addresses
Primary practice location
472 Wheelers Farms Rd Ste 306
Milford, CT 06461-9109
Mailing address
472 Wheelers Farms Rd Ste 306
Milford, CT 06461-9109
Phone (631) 355-3366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Icahn School of Medicine at Mount Sinai, 2018
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
20 York St
New Haven, CT 06510-3220
Phone (203) 688-4242
472 Wheelers Farms Rd
Suite 306
Milford, CT 06461-9109
Phone (203) 701-9737
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.36 of 100
- Quality
- 77.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.27
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70102 | CT | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Connecticut | Single Specialty | Current | Accepting new patients |
| Yale University | Current | Accepting new patients | |
| Yale University | Single Specialty | Current | Accepting new patients |
| Silver Hill Hospital, Inc | Single Specialty | Current | Accepting new patients |
| Mood Institute PLLC | Single Specialty | Current | Accepting new patients |
| Mood Institute PLLC | Single Specialty | Current | Accepting new patients |
| State of Connecticut | Current | Accepting new patients |
Locations
165 Capitol Ave
Ste 2000
Hartford, CT 06106
472 Wheelers Farms Rd
Ste 306
Milford, CT 06461
Phone (203) 701-9737
208 Valley Rd
New Canaan, CT 06840
Phone (203) 966-3561
800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140
34 Park St
North Haven, CT 06519
Phone (203) 974-7417
20 York St
North Haven, CT 06510
Phone (203) 688-2433
3530 Post Rd
Ste 302
Southport, CT 06890
Phone (203) 701-9737
Interoperability endpoints
- tholloway397714@direct.ynhh.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Yale Medicine
- Anesthesiology Physician
- New Haven, CT
- NPI 1205822236
Single Specialty
-
dba Connecticut Mental Health Center
- Psychiatric Hospital
- New Haven, CT
- NPI 1881629434
Single Specialty
-
dba Department of Veterans' Affairs, Veterans Home
- Skilled Nursing Facility
- Rocky Hill, CT
- NPI 1205951662
-
- Durable Medical Equipment & Medical Supplies
- Fairfield, CT
- NPI 1548066962
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1336139500
-
- General Acute Care Hospital
- New Haven, CT
- NPI 1578778726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1306342712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "472 WHEELERS FARMS RD STE 306",
"city": "MILFORD",
"state": "CT",
"postal_code": "064619109",
"telephone_number": "631-355-3366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "472 WHEELERS FARMS RD STE 306",
"city": "MILFORD",
"state": "CT",
"postal_code": "064619109",
"telephone_number": "203-701-9737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLOWAY",
"first_name": "TERRELL",
"middle_name": "DAVID",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-04",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "70102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.