Madeline Kate Donk

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-51367 Issued in NM

Practice address

354 Cernon St
Vacaville, CA 95688-4502

Phone

(707) 685-0899

NPI assigned

Sep 25, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Guidance Center of Lea County, Inc

  • Community/Behavioral Health Agency
  • Hobbs, NM
  • NPI 1740211333
  NPD (past)

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1235614256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 CERNON ST",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884502",
            "telephone_number": "707-685-0899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 CERNON ST",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884502",
            "telephone_number": "707-685-0899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3821 W College Ln",
            "address_purpose": "LOCATION",
            "city": "Hobbs",
            "state": "NM",
            "postal_code": "882429126",
            "country_code": "US",
            "telephone_number": "575-392-2231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONK",
        "first_name": "MADELINE",
        "middle_name": "KATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NM",
            "license": "1-21-51367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78336732",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "m21",
            "affiliation": "N",
            "address_1": "354 Cernon St",
            "city": "Vacaville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956884502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melissa Harris Dole, DDS
• Christina Dolores
• Brea Arties Dolton
• Kate Winslet C Domingo
• Jessica Suheit Dominguez, B.S.
• Doorstep Primary Care L.L.C
• Sara Elizabeth Dorsey, AMFT
• Rachel Katherine Doucette
• Downtown Vacaville Eyecare, Inc an Optometric Corporation
• John K. Doyle, MD

• Behavior Analyst in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.