Dennis William Donnelly, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD 010938E Issued in PA

Practice address

425 Homestead Rd
Wayne, PA 19087-2433

Phone

(610) 687-3098

Fax

(610) 687-0744

NPI assigned

Apr 10, 2007

Last updated

Dec 2, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2009 through Jan 1, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Paoli Psychiatric Associates

  • Psychiatry Physician
  • Malvern, PA
  • NPI 1063442366
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1053434373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 HOMESTEAD RD",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190872433",
            "telephone_number": "610-687-3098",
            "fax_number": "610-687-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HOMESTEAD RD",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190872433",
            "telephone_number": "610-687-3098",
            "fax_number": "610-687-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "DENNIS",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD 010938E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "260048760",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison Distasio
• Gina Divalerio
• Brian Patrick Dolan, RN,BSN, RNFA, CNOR
• Amanda Dolata
• Christine Dolor
• Marie R Donnelly, M.D.
• Genevieve Dooner, RDN
• Caroline Grace Doran, M.ED.
• Thomas Dorn, L.AC.
• Jamie Dougherty

• Psychiatry Physician in Wayne, PA
• Providers in Wayne, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.