Active NPI
Diane Marie Doolan, M.S., P.D.
- School Psychologist
- Brewster, NY
National Provider Identifier
1265700223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 20 Farm to Market Rd
Brewster, NY 10509-2703 - Phone
- (845) 279-4018
- Fax
- (845) 279-8154
- NPI assigned
- Dec 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | NY | Primary |
Addresses
Primary practice location
20 Farm to Market Rd
Brewster, NY 10509-2703
Mailing address
67 Kings Rd
Rock Tavern, NY 12575-5131
Phone (845) 497-7647
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)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1265700223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 KINGS RD",
"city": "ROCK TAVERN",
"state": "NY",
"postal_code": "125755131",
"telephone_number": "845-497-7647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 FARM TO MARKET RD",
"city": "BREWSTER",
"state": "NY",
"postal_code": "105092703",
"telephone_number": "845-279-4018",
"fax_number": "845-279-8154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOOLAN",
"first_name": "DIANE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "M.S., P.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-06",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brewster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.