Individual provider Active NPI

Donna L. Barry Moilanen, PH.D.

  • Psychologist
  • Medway, MA
National Provider Identifier
1063769313
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5034 Issued in MA
Practice address
89 Main St
Suite 209
Medway, MA 02053-1828
Phone
(508) 244-0068
NPI assigned
Aug 6, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 5034 MA Primary

Addresses

NPPES NPI Registry

Primary practice location

89 Main St
Suite 209
Medway, MA 02053-1828

Mailing address

89 Main St
Suite 209
Medway, MA 02053-1828
Phone (508) 244-0068

Other names 1

NPPES NPI Registry
  • Donna L. Moilanen Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 15, 2016.

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455494400000",
    "number": "1063769313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 MAIN ST",
            "address_2": "SUITE 209",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "020531828",
            "telephone_number": "508-244-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 MAIN ST",
            "address_2": "SUITE 209",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "020531828",
            "telephone_number": "508-244-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRY MOILANEN",
        "first_name": "DONNA",
        "middle_name": "L.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-06",
        "last_updated": "2016-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "5034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DONNA",
            "last_name": "MOILANEN",
            "middle_name": "L.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Medway, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.