Active NPI
Kelli Ann Donohue, PH.D.
- Psychologist
- Brooklyn, NY
National Provider Identifier
1336445691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 018980
- Practice address
- 163 Prospect Park W
Brooklyn, NY 11215-5271 - Phone
- (347) 993-0325
- NPI assigned
- Feb 3, 2011
- Last updated
- Feb 3, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 018980 | NY | Primary |
Addresses
Primary practice location
163 Prospect Park W
Brooklyn, NY 11215-5271
Mailing address
10300 Shore Front Pkwy
Apt 10S
Rockaway Park, NY 11694-2788
Phone (917) 535-7605
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
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296691200000",
"number": "1336445691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10300 SHORE FRONT PKWY",
"address_2": "APT 10S",
"city": "ROCKAWAY PARK",
"state": "NY",
"postal_code": "116942788",
"telephone_number": "917-535-7605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "163 PROSPECT PARK W",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112155271",
"telephone_number": "347-993-0325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOHUE",
"first_name": "KELLI",
"middle_name": "ANN",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-02-03",
"last_updated": "2011-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "018980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.