Mavis J Donnelly, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

14026 Issued in AZ

Practice address

7345 E Tanque Verde Rd
Tucson, AZ 85715-3475

Phone

(520) 748-2650

Fax

(520) 296-2301

NPI assigned

Oct 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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 Jun 7, 2015 through Jun 7, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Mavis J Donnelly MD PC

  • Psychiatry Physician
  • Tucson, AZ
  • NPI 1982539581
  NPD Authorized official
• Leaf and Stone PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
  • NPI 1356030951
  NPD (past)
• Samantha Frembgen, D.O. PLLC

  • Psychiatry Physician
  • Tucson, AZ
  • NPI 1225667561
  NPD (past)
• Stephen V. Streitfeld, MD., PC.

  • Child & Adolescent Psychiatry Physician
  • Tucson, AZ
  • NPI 1861578551
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408060800000",
    "number": "1245320647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7345 E TANQUE VERDE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153475",
            "telephone_number": "520-748-2650",
            "fax_number": "520-296-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7345 E TANQUE VERDE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153475",
            "telephone_number": "520-748-2650",
            "fax_number": "520-296-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "MAVIS",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2014-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "14026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Donegan, RN
• Connie L Doner, FNP, PNP
• Tina Dong, LPC
• Amrutha Doniparthi, MD
• Donna K Baker Counseling, PC
• Richard Donnerstein, MD
• Alma Delia Donohue, DNP-C
• Carolyn Elizabeth Donohue
• Alicia E Donovan, LPC
• Brian Shannon Donovan, M.D.

• Psychiatry Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.