Individual provider Active NPI

Patrick J. Donovan, NYS LMHC/CASAC

  • Mental Health Counselor
  • Warwick, NY
National Provider Identifier
1336320530
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
000358 Issued in NY
Practice address
7 Wisner Rd
Warwick, NY 10990-3436
Phone
(845) 986-1881
Fax
(845) 986-1888
NPI assigned
Nov 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 10890 NY
Mental Health Counselor 101YM0800X 000358 NY Primary

Addresses

Primary practice location

7 Wisner Rd
Warwick, NY 10990-3436

Mailing address

7 Wisner Rd
Warwick, NY 10990-3436
Phone (845) 986-1881

Other identifiers 2

IdentifierTypeStateIssuer
10890OtherNYNYS CASAC
000358OtherNYNYS LMHC

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

State licenses

LicenseStateTypeSpecialty
10890NYMDAddiction (Substance Use Disorder) Counselor
000358NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Educating You LLC Mental Health 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1336320530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WISNER RD",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109903436",
            "telephone_number": "845-986-1881",
            "fax_number": "845-986-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WISNER RD",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109903436",
            "telephone_number": "845-986-1881",
            "fax_number": "845-986-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "PATRICK",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "NYS LMHC/CASAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "10890",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS CASAC",
            "identifier": "10890",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LMHC",
            "identifier": "000358",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.