Organization Active NPI

Doneski Psychological Services, LLC

  • Psychologist
  • Springfield, MO
National Provider Identifier
1396098646
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2009003095 Issued in MO
Legal business name
DONESKI PSYCHOLOGICAL SERVICES, LLC
Practice address
4849 S Crescent Ave
Springfield, MO 65804-7432
Phone
(417) 840-4391
NPI assigned
Oct 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert Doneski, PSY.D.
Title
Owner/Psychologist
Phone
(417) 840-4391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 2009003095 MO Primary

Addresses

Primary practice location

4849 S Crescent Ave
Springfield, MO 65804-7432

Mailing address

4849 S Crescent Ave
Springfield, MO 65804-7432
Phone (417) 840-4391

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1396098646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 S CRESCENT AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047432",
            "telephone_number": "417-840-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 S CRESCENT AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658047432",
            "telephone_number": "417-840-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONESKI PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "DONESKI",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "417-840-4391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "MO",
            "license": "2009003095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.