Individual provider Active NPI

Danielle G Dollinger, PSYD

  • Clinical Psychologist
  • Walnut Creek, CA
National Provider Identifier
1427678127
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
31691 Issued in CA
Practice address
55 Cora CT
Walnut Creek, CA 94597-6803
Phone
(925) 457-0986
NPI assigned
Apr 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 31691 CA Primary

Addresses

Primary practice location

55 Cora CT
Walnut Creek, CA 94597-6803

Mailing address

55 Cora CT
Walnut Creek, CA 94597-6803
Phone (925) 457-0986

Other identifiers 1

IdentifierTypeStateIssuer
12345OtherCAKAISER PERMANENTE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL LAPTOP Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220413001917 CA Practitioner - Psychiatry 9830585199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

576 Hartnell St
Suite 300
Monterey, CA 93940-2887
Phone (831) 625-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31691CAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital of the Monterey Peninsula CurrentSince Apr 1, 2022 Accepting new patients
Community Hospital of the Monterey Peninsula CurrentSince Apr 1, 2022 Accepting new patients

Locations

576 Hartnell St
Ste 300
Monterey, CA 93940
Phone (831) 625-4600

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

576 Hartnell St
Monterey, CA 93940
Phone (831) 625-4600

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1427678127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CORA CT",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945976803",
            "telephone_number": "925-457-0986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CORA CT",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945976803",
            "telephone_number": "925-457-0986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLLINGER",
        "first_name": "DANIELLE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "31691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PERMANENTE",
            "identifier": "12345",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "LAPTOP",
            "affiliation": "N",
            "endpointDescription": "LAPTOP",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "55 Cora Ct",
            "city": "Walnut Creek",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945976803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.