Active NPI
Dawn Elizabeth O'Donnell, PH.D
- Psychologist
- Gonzales, TX
National Provider Identifier
1275690117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 33727
- Practice address
- 228 Saint George St
Gonzales, TX 78629-3910 - Phone
- (830) 672-6511
- Fax
- (830) 672-6430
- NPI assigned
- Jan 2, 2007
- Last updated
- Jan 7, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 33727 | TX | Primary |
| Registered Nurse | 163W00000X | 538627 | TX |
Addresses
Primary practice location
228 Saint George St
Gonzales, TX 78629-3910
Mailing address
PO Box 1890
Gonzales, TX 78629-1390
Phone (830) 672-6511
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 538627 | Other | TX | REGISTERED NURSE LICENSE |
| 33727 | Other | TX | LICENSED PSYCHOLOGIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240606001769 | TX | Order and Referring Only - Clinical Psychologist | 6305388265 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33727 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 538627 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers of South Central Texas, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Gonzales, TX
- NPI 1285650424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767744000000",
"number": "1275690117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1890",
"city": "GONZALES",
"state": "TX",
"postal_code": "786291390",
"telephone_number": "830-672-6511",
"fax_number": "830-672-6430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 SAINT GEORGE ST",
"city": "GONZALES",
"state": "TX",
"postal_code": "786293910",
"telephone_number": "830-672-6511",
"fax_number": "830-672-6430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DONNELL",
"first_name": "DAWN",
"middle_name": "ELIZABETH",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "33727",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "538627",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE LICENSE",
"identifier": "538627",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PSYCHOLOGIST",
"identifier": "33727",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gonzales, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.