Donald J Dennison II, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS01949 Issued in PA

Practice address

3428 Brodhead Rd
Monaca, PA 15061-3132

Phone

(724) 728-6670

NPI assigned

Nov 23, 2020

Sex

Male

Sole proprietor

Yes

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.

• Psychology & Learning Center Inc

  • Clinic/Center
  • Monaca, PA
  • NPI 1710771670

  Multi-Specialty, PA

  Medicare reassignment NPD

Specialty

Clinical Psychologist

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 23, 2020.

{
    "created_epoch": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1164026928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3428 BRODHEAD RD",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150613132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3428 BRODHEAD RD",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150613132",
            "telephone_number": "724-728-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNISON",
        "first_name": "DONALD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS01949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE",
            "identifier": "PS019149",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonja Joy Cullum, MHC
• Daniel & Max, LLC
• Renae Lynn Daniels-Simmons, D.P.M.
• Michael A. Dechellis, PT
• Melissa A Deluigi, LPC
• Kristin Dietrich
• Adam D Dolan, RPH
• Darrick Richard Dominick, D.P.M.
• Amy Bates Donis, LCSW
• Dr. Harry B. Burke and Associates, PC

• All providers in Monaca, PA
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; 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.