Donna Moriconi Seely, M.A., LLP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6361006707 Issued in MI

Practice address

30472 23 Mile Rd
Chesterfield, MI 48047-1844

Phone

(586) 863-4000

NPI assigned

Sep 15, 2022

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

Other names 1

• Donna Marie Moriconi Former name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• Pure Psychiatry of Michigan PLLC

  • Physician Assistant
  • Wayne, MI
  • NPI 1831701671
  Medicare reassignment NPD
• Hetal Patel, M.D. P.C.

  • Psychiatry Physician
  • Chesterfield, MI
  • NPI 1447672944
  NPD

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1023730066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8717 MESKILL RD",
            "city": "COLUMBUS",
            "state": "MI",
            "postal_code": "480631901",
            "telephone_number": "248-909-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30472 23 MILE RD",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480471844",
            "telephone_number": "586-863-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEELY",
        "first_name": "DONNA",
        "middle_name": "MORICONI",
        "credential": "M.A., LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6361006707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "MORICONI",
            "middle_name": "MARIE",
            "credential": "MA, LLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brianna Scott
• Kori Scruggs
• Lakeida Scurlark
• Gail Suzanne Sebree, LPC
• Nathan Seeley
• Carolyn Ann Seifert, L.P.N.
• Madison Selewski, TLLP
• Jessica Senopole, CNP
• John Serra Jr., NP
• Kamoura Seymour

• Clinical Psychologist in Chesterfield, MI
• Providers in Chesterfield, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.