TERRELL DAVID HOLLOWAY (MD) – Psychiatry Physician, NPI 1306342712

TERRELL DAVID HOLLOWAY (MD) is a healthcare provider. based in Milford, Connecticut. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 70102 (CT). The NPI Number for TERRELL DAVID HOLLOWAY (MD) is 1306342712

Main info

Male
Sole Proprietor
8 Years Of Experience
Name
TERRELL DAVID HOLLOWAY (MD)
NPI
1306342712
Phone
(631) 355-3366
Address
472 WHEELERS FARMS RD STE 306
Enumeration Date
4 April 2018
Last Update Date
18 July 2023

Doctor Profile

Medical School Name
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Secondary Phone
2037019737
Graduation Year
2018 (8 years ago)
PAC ID
3779959309
Group Practice PAC ID
4082039375
Professional Enrollment ID
I20221021001539
Address ID
CT064619109MI472XXRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

851 PSYCHIATRY in CT

Provider Addresses for TERRELL DAVID HOLLOWAY (MD)

  • 472 WHEELERS FARMS RD STE 306

    MILFORD, CT 064619109

    Phone: (631) 355-3366

    Type: Mailing

  • 300 GEORGE ST STE 901

    NEW HAVEN, CT 065116662

    Phone: (203) 785-2095

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $333.

Total Amount is formed as General ($333) + Research ($0) + Ownership ($0) = $333.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($250).

Total Amount

$333

General + Research + Ownership

Payments

4

Total payment records

General Amount

$333

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-10-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221021001539IPsychiatryCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06461)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082039375View full group profile
NameSpecialtyState
P S Y C H I A T R YCT

Reviews

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Frequently asked questions

How do I look up TERRELL DAVID HOLLOWAY (MD) by NPI?
Use NPI 1306342712 when you need to reference TERRELL DAVID HOLLOWAY (MD) in forms, claims, or directories.
Is TERRELL DAVID HOLLOWAY (MD)'s NPI currently valid?
The extract we use shows TERRELL DAVID HOLLOWAY (MD) as active.
What does TERRELL DAVID HOLLOWAY (MD) treat or focus on?
Patients typically see TERRELL DAVID HOLLOWAY (MD) under the specialty Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where does public data place TERRELL DAVID HOLLOWAY (MD)?
The snapshot lists Milford, Connecticut for TERRELL DAVID HOLLOWAY (MD); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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