Active NPI
Denise Bronzino Donowitz, PH.D.
- Clinical Psychologist
- Miller Place, NY
National Provider Identifier
1366538449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 011374-1
- Practice address
- 595 Route 25a
Suite 3
Miller Place, NY 11764-2646 - Phone
- (631) 744-4709
- Fax
- (631) 821-3215
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 011374-1 | NY | Primary |
Addresses
Primary practice location
595 Route 25a
Suite 3
Miller Place, NY 11764-2646
Mailing address
595 Route 25a
Suite 3
Miller Place, NY 11764-2646
Phone (631) 744-4709
Other names 1
- Dr. Denise Donowitz
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011374-1 | NY | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Residences and Essential Enterprises, Inc. | 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.
-
dba Terry's Place
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Old Bethpage, NY
- NPI 1497943757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475020800000",
"number": "1366538449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "595 ROUTE 25A",
"address_2": "SUITE 3",
"city": "MILLER PLACE",
"state": "NY",
"postal_code": "117642646",
"telephone_number": "631-744-4709",
"fax_number": "631-821-3215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "595 ROUTE 25A",
"address_2": "SUITE 3",
"city": "MILLER PLACE",
"state": "NY",
"postal_code": "117642646",
"telephone_number": "631-744-4709",
"fax_number": "631-821-3215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOWITZ",
"first_name": "DENISE",
"middle_name": "BRONZINO",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2016-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "011374-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DENISE",
"last_name": "DONOWITZ",
"prefix": "DR.",
"credential": "PH.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Miller Place, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.