William Blondell Donovan, M.D.
Individual provider Active NPI Psychiatry Physician · Carmel, CA
NPI 1376880583 · NPPES record last updated Dec 7, 2016
Key facts
- NPI
- 1376880583
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- GFE8665 (CA)
- Practice address
- 26217 Isabella Ave
Carmel, CA 93923-9127 - Phone
- (831) 625-3407
- Fax
- (831) 624-3407
- NPI assigned
- Jan 8, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GFE8665 | CA | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | GFE8665 | CA | Yes |
Addresses
Primary practice location
26217 Isabella Ave
Carmel, CA 93923-9127
Mailing address
26217 Isabella Ave
Carmel, CA 93923-9127
Phone (831) 625-3407
Other providers in Carmel, CA
- Michelle Cummings
- Megan Elise Danley
- Robin Lee Defilippi
- Cristin Elise Devine
- Karin Gisela Dolph
- Olivia Rachel Douglas
- Drayton Brooke Doyle
- Kimberly Drinker
- Pascale Nadya Drozek
- DRS. Kim and Irv Hartford
All providers in Carmel, CA · Psychiatry Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.