Individual provider Active NPI

Donna Kathleen Vahovius I, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • West Hempstead, NY
National Provider Identifier
1295075901
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F404263-01 Issued in NY
Practice address
510 Hempstead Tpke RM 203
West Hempstead, NY 11552-1152
Phone
(516) 559-4041
Fax
(949) 419-3482
NPI assigned
Feb 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1074084 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11019734 FL
Family Nurse Practitioner 363LF0000X 1-095501 AL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F404263-01 NY Primary

Addresses

Primary practice location

510 Hempstead Tpke RM 203
West Hempstead, NY 11552-1152

Mailing address

510 Hempstead Tpke RM 203
West Hempstead, NY 11552-1152
Phone (516) 559-4041

Other identifiers 3

IdentifierTypeStateIssuer
F404263-01OtherNYLICENSE
1074084OtherTXLICENSE
APRN11019734OtherFLLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NY, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220629003300 FL Practitioner - Nurse Practitioner 4789064262 Reassigns benefits to 2 organizations
I20220810001610 NY Practitioner - Nurse Practitioner 4789064262 Reassigns benefits to 1 organization
I20240429003369 TX Practitioner - Nurse Practitioner 4789064262

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-095501ALMDFamily Nurse Practitioner
F404263-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aldad Medical PC CurrentSince Aug 1, 2022 Accepting new patients
Aldad Medical PC Psychiatric/Mental Health CurrentSince Jun 1, 2022 Accepting new patients
Aldad Medical PC CurrentSince Jun 1, 2022 Accepting new patients
New Horizons Wellness Center PastSince Aug 2, 2014 Accepting new patients

Locations

801 Brickell Ave
Fl 8
Miami, FL 33131
Phone (305) 871-4420

450 S Orange Ave
Fl 3
Orlando, FL 32801
Phone (407) 212-7113

1600 E 8th Ave
Ste A200
Tampa, FL 33605

27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100

510 Hempstead Tpke
Rm 203
West Hempstead, NY 11552
Phone 51650572001051

Interoperability endpoints

  • Direct secure messaging: donna.vahovius@489656322949124.direct.elationemr.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1295075901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 HEMPSTEAD TPKE RM 203",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115521152",
            "telephone_number": "516-559-4041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 HEMPSTEAD TPKE RM 203",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115521152",
            "telephone_number": "516-559-4041",
            "fax_number": "949-419-3482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAHOVIUS",
        "first_name": "DONNA",
        "middle_name": "KATHLEEN",
        "name_suffix": "I",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-18",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1074084",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11019734",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-095501",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F404263-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "F404263-01",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1074084",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "APRN11019734",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hempstead, NY

Sources for this page

Verify at the official NPI Registry.