Beth O'Donnell, PH.D. LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

003189 Issued in CT

Legal business name

BETH O'DONNELL, PH.D. LLC

Practice address

2001 W Main St
Suite 106G
Stamford, CT 06902-4501

Phone

(917) 992-8943

NPI assigned

Mar 13, 2013

Last updated

Aug 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth Daneker O'Donnell, PH.D.

Title

Clinical Psychologist/Owner

Phone

(917) 992-8943

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1285975417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W MAIN ST",
            "address_2": "SUITE 106G",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069024501",
            "telephone_number": "917-992-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W MAIN ST",
            "address_2": "SUITE 106G",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069024501",
            "telephone_number": "917-992-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH O'DONNELL, PH.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "O'DONNELL",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "DANEKER",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "917-992-8943",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "003189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Stamford, CT
• Providers in Stamford, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.