Active NPI
Heidi C Donovan, PHD
- Psychologist
- Pace, FL
National Provider Identifier
1386655819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY6842
- Practice address
- 5632 Whispering Woods Dr
Pace, FL 32571-8327 - Phone
- (850) 995-8018
- Fax
- (850) 492-7667
- NPI assigned
- Aug 10, 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY6842 | FL | Primary |
Addresses
Primary practice location
5632 Whispering Woods Dr
Pace, FL 32571-8327
Mailing address
5632 Whispering Woods Dr
Pace, FL 32571-8327
Phone (850) 995-8018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74028 | Other | FL | BLUE |
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 |
|---|---|---|---|
| PY6842 | FL | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling and Psychological Associates PA | 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.
-
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- Pensacola, FL
- NPI 1588687826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386655819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5632 WHISPERING WOODS DR",
"city": "PACE",
"state": "FL",
"postal_code": "325718327",
"telephone_number": "850-995-8018",
"fax_number": "850-492-7667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5632 WHISPERING WOODS DR",
"city": "PACE",
"state": "FL",
"postal_code": "325718327",
"telephone_number": "850-995-8018",
"fax_number": "850-492-7667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOVAN",
"first_name": "HEIDI",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY6842",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE",
"identifier": "74028",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.