Lauren Marie Golla, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

21123 Issued in WI

Practice address

5115 N Biltmore LN
Madison, WI 53718-2161

Phone

(608) 592-8100

NPI assigned

Mar 28, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in MI, WI2 enrollments

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 2

Specialty

Clinical Psychologist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Wisconsin Medical Foundation IncGroup PAC ID 6608785464, 2,537 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.32 of 100Reported as group

Quality

87.78

Promoting interoperability

77

Improvement activities

40

Cost

75.8

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lgolla67502@direct.hurleymc.com
• Direct secure messaging: lgolla1230341@direct.uwhealth.org

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.

• University of Wisconsin Medical Foundation, Inc

  • Multi-Specialty Clinic/Center
  • Middleton, WI
  • NPI 1598784555
  Medicare reassignment Care Compare group NPD
• Hurley Medical Center

  • Psychiatry Physician
  • Flint, MI
  • NPI 1457387201
  Medicare reassignment NPD
• University of Wisconsin Medical Foundation, Inc

  • Health Educator
  • Madison, WI
  • NPI 1487414082
  NPD
• Hurley Medical Center

  • Clinical Psychologist
  • Flint, MI
  • NPI 1467678789
  NPD
• Hurley Medical Center

  • Certified Registered Nurse Anesthetist
  • Flint, MI
  • NPI 1558397653
  NPD
• Hurley Medical Center

  • Plastic and Reconstructive Surgery Physician
  • Flint, MI
  • NPI 1689345761
  NPD
• Hurley Medical Center

  • Emergency Medicine Physician
  • Flint, MI
  • NPI 1831140367
  NPD
• Pathology Associates Inc PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Flint, MI
  • NPI 1922116094
  NPD

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1992237176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 N BILTMORE LN",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537182161",
            "telephone_number": "608-592-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLLA",
        "first_name": "LAUREN",
        "middle_name": "MARIE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301017819",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301017819",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "MI",
            "license": "6301017819",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "21123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lgolla1230341@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "5115 N Biltmore Ln",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537182161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lgolla67502@direct.hurleymc.com",
            "affiliation": "N",
            "address_1": "1125 S Linden Rd Ste 200",
            "city": "Flint",
            "state": "MI",
            "country_code": "US",
            "postal_code": "485324073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ellen Margaret Goldsher, DPT
• Lindsey Michelle Goldsmith
• Matthew M. Goldsmith, MD
• Eve Goldstein
• Ellie Golestanian, MD
• Harold Gollman, RPH
• Samantha Gollup, RD
• Kathleen A Golos, RD
• Daniel J Golson, B.S, RN
• Suzanne Gomez-Goldman, M.D.

• Psychologist in Madison, WI
• Providers in Madison, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.

Verify at the official NPI Registry.