Active NPI
Donna J Vannata, PHD
- Psychologist
- Amissville, VA
National Provider Identifier
1386757649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0810003256
- Practice address
- 14945 Lee Highway
Amissville, VA 20106 - Phone
- (540) 222-6875
- Fax
- (540) 937-4640
- NPI assigned
- Aug 17, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0810003256 | VA | Primary |
| Psychologist | 103T00000X | 0129631 | NY |
Addresses
Primary practice location
14945 Lee Highway
Amissville, VA 20106
Mailing address
14945 Lee Highway
Amissville, VA 20106
Phone (540) 222-6875
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010014590 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0129631 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rappahannock Rapidan CSB | Past | Accepting new patients | |
| Chapman Senior Care, Inc. | Past | Accepting new patients |
Organizations & group practices 3
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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- NPI 1750504833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278547200000",
"number": "1386757649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14945 LEE HIGHWAY",
"city": "AMISSVILLE",
"state": "VA",
"postal_code": "20106",
"telephone_number": "540-222-6875",
"fax_number": "540-937-4640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14945 LEE HIGHWAY",
"city": "AMISSVILLE",
"state": "VA",
"postal_code": "20106",
"telephone_number": "540-222-6875",
"fax_number": "540-937-4640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANNATA",
"first_name": "DONNA",
"middle_name": "J",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2010-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VA",
"license": "0810003256",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "0129631",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010014590",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Amissville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.