Organization Active NPI

Donna L Donati PSYD PA

  • Clinical Psychologist
  • New Port Richey, FL
National Provider Identifier
1407202039
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DONNA L DONATI PSYD PA
Practice address
2533 Permit PL
New Port Richey, FL 34655-4519
Phone
(727) 421-5329
NPI assigned
May 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Authorized official

Name
Dr. Donna Lynn Donati-Waddell, PSY.D.NPI 1962434621
Title
President
Phone
(727) 421-5329

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

2533 Permit PL
New Port Richey, FL 34655-4519

Mailing address

649 Heatherwood CT
Tarpon Springs, FL 34688-7283
Phone (727) 421-5329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161119000013 FL Part B Supplier - Clinic/Group Practice 4688953300 Receives reassigned benefits from 2 practitioners
Practice locations: New Port Richey, FL

National Provider Directory

National Provider Directory

Locations

7400 Trouble Creek Rd
New Port Richey, FL 34653
Phone (727) 375-2999

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1407202039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 HEATHERWOOD CT",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346887283",
            "telephone_number": "727-421-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2533 PERMIT PL",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346554519",
            "telephone_number": "727-421-5329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNA L DONATI PSYD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-12",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "DONATI-WADDELL",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-421-5329",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.