Individual provider Active NPI

Amie T Donah, PH.D.

  • Clinical Psychologist
  • Richmond, VA
National Provider Identifier
1326349937
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
D810004337 Issued in VA
Practice address
4905 Dickens Rd Ste 104
Richmond, VA 23230-1953
Phone
(804) 918-5706
Fax
(804) 918-5213
NPI assigned
Nov 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X D810004337 VA Primary

Addresses

Primary practice location

4905 Dickens Rd Ste 104
Richmond, VA 23230-1953

Mailing address

4905 Dickens Rd Ste 104
Richmond, VA 23230-1953
Phone (804) 918-5706

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170419000140 VA Practitioner - Clinical Psychologist 7719263144 Practice locations: Richmond, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Virginia Commonwealth University, School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4905 Dickens Rd
Suite 104
Richmond, VA 23230-1953
Phone (804) 918-5706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
D810004337VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sheltering Arms Hospital CurrentSince Nov 24, 2019 Accepting new patients
Douglass R. Bloomfield, PH.D., P.C. Past Accepting new patients

Locations

8226 Meadowbridge Rd
Mechanicsvlle, VA 23116
Phone (804) 342-4341

206 Twinridge Ln
North Chesterfield, VA 23235
Phone (804) 320-7711

6627 W Broad St
Ste 100
Richmond, VA 23230
Phone (804) 723-3220

Organizations & group practices 2

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": "1289520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1326349937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 DICKENS RD STE 104",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301953",
            "telephone_number": "804-918-5706",
            "fax_number": "804-918-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 DICKENS RD STE 104",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232301953",
            "telephone_number": "804-918-5706",
            "fax_number": "804-918-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAH",
        "first_name": "AMIE",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-12",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "D810004337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.