Active NPI
Stuart Lee Doneson, PH.D
- Clinical Psychologist
- East Lansing, MI
National Provider Identifier
1396898318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301 005005
- Practice address
- 4572 S Hagadorn Rd Ste 2H
East Lansing, MI 48823-5385 - Phone
- (517) 203-3300
- Fax
- (517) 203-3300
- NPI assigned
- Jan 21, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301 005005 | MI | Primary |
Addresses
Primary practice location
4572 S Hagadorn Rd Ste 2H
East Lansing, MI 48823-5385
Mailing address
4562 Comanche Dr
Okemos, MI 48864-2064
Phone (517) 337-8447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62 OC34603 | Other | BLUECROSS BLUE SHIELD PIN |
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 |
|---|---|---|---|
| 6301 005005 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396898318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4562 COMANCHE DR",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488642064",
"telephone_number": "517-337-8447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4572 S HAGADORN RD STE 2H",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488235385",
"telephone_number": "517-203-3300",
"fax_number": "517-203-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONESON",
"first_name": "STUART",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301 005005",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUE SHIELD PIN",
"identifier": "62 OC34603",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in East Lansing, MI
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.