Active NPI
Patrick R. Donovan
- Counselor
- Lynn, MA
National Provider Identifier
1396094660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 112 Market St
Lynn, MA 01901-1125 - Phone
- (781) 593-7676
- NPI assigned
- Sep 2, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
112 Market St
Lynn, MA 01901-1125
Mailing address
91 Veterans Rd
Apartment 301
Winthrop, MA 02152-1614
Phone (415) 359-4015
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346544000000",
"number": "1396094660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91 VETERANS RD",
"address_2": "APARTMENT 301",
"city": "WINTHROP",
"state": "MA",
"postal_code": "021521614",
"telephone_number": "415-359-4015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 MARKET ST",
"city": "LYNN",
"state": "MA",
"postal_code": "019011125",
"telephone_number": "781-593-7676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOVAN",
"first_name": "PATRICK",
"middle_name": "R.",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-02",
"last_updated": "2012-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.