Lauren Dattilo, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS2003 Issued in ME

Practice address

53 Exchange St Ste 401
Portland, ME 04101-5034

Phone

(207) 492-7695

NPI assigned

Oct 8, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Maine Therapy Collective PLLC

  • Clinical Psychologist
  • Portland, ME
  • NPI 1831911361
  NPD
• Psychology Specialists of Maine

  • Counseling Psychologist
  • Brunswick, ME
  • NPI 1326571241
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1972144285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 ELM ST",
            "city": "TOPSHAM",
            "state": "ME",
            "postal_code": "040861418",
            "telephone_number": "207-492-7695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 EXCHANGE ST STE 401",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041015034",
            "telephone_number": "207-492-7695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "257 Deering Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041034858",
            "country_code": "US",
            "telephone_number": "207-492-7695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DATTILO",
        "first_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-08",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ME",
            "license": "PS2003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magda Darling
• Allison Marie Dart, PSYD
• Gina Nicole Dasilva
• Alessandra Daskalakis, MD
• Christine Marie Dastalto, PT
• Kellsey Rae Davenport, PT, DPT
• Pamela R Davenport, SOCIAL WORKER
• Kathleen Mara Davey, M.D.
• David a Vaughan DDS PA
• David D Keller DO PC

• Clinical Psychologist in Portland, ME
• Providers in Portland, ME by specialty
• Clinical Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.