Individual provider Active NPI

Deidre Donaldson, PH.D.

  • Psychologist
  • Fall River, MA
National Provider Identifier
1164550216
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
7354 Issued in MA
Practice address
795 Middle St
Fall River, MA 02721-1733
Phone
(508) 235-5285
Fax
(508) 678-6905
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 7354 MA Primary
Psychologist 103T00000X 568 RI

Addresses

Primary practice location

795 Middle St
Fall River, MA 02721-1733

Mailing address

22 Stop River Rd
Norfolk, MA 02056-1171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110913000061 MA Practitioner - Clinical Psychologist 3577734136
I20181102001605 RI Practitioner - Clinical Psychologist 3577734136 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
568RIMDPsychologist
7354MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Steward St. Anne'S Hospital Corporation CurrentSince Jul 10, 2011 Accepting new patients
Steward St. Anne'S Hospital Corporation CurrentSince Jul 10, 2011 Accepting new patients

Locations

795 Middle St
Fall River, MA 02721
Phone (508) 235-5046

Interoperability endpoints

  • Direct secure messaging: dedonaldson@direct.carene.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1164550216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 STOP RIVER RD",
            "city": "NORFOLK",
            "state": "MA",
            "postal_code": "020561171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 MIDDLE ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027211733",
            "telephone_number": "508-235-5285",
            "fax_number": "508-678-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONALDSON",
        "first_name": "DEIDRE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "7354",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "RI",
            "license": "568",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.