Active NPI
Liz T Donald, PH.D.
- Clinical Psychologist
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- P1153
- Practice address
- 2900 Tazewell Pike
Suite G
Knoxville, TN 37918-1880 - Phone
- (865) 924-0318
- Fax
- (865) 470-7133
- NPI assigned
- Sep 19, 2005
- Last updated
- Mar 21, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | P1153 | TN | Primary |
Addresses
Primary practice location
2900 Tazewell Pike
Suite G
Knoxville, TN 37918-1880
Mailing address
2900 Tazewell Pike
Suite G
Knoxville, TN 37918-1880
Phone (865) 924-0318
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3681456 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2084 W Main St
Milan, TN 38358-3515
Phone (731) 686-8321
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1153 | TN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Knapp Street Psychiatry, PC | Clinical | Current | Accepting new patients |
| Christopher Dennis MD PLLC | Clinical | Current | Accepting new patients |
| New Path PLLC | Past | Accepting new patients | |
| Knoxville Psychiatric Group | Clinical | Past | Accepting new patients |
Locations
1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700
3512 Quentin Rd
Ste 110
Brooklyn, NY 11234
Phone (718) 854-8370
209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625
200 W Martin Luther King Blvd
Ste 1000
Chattanooga, TN 37402
Phone (423) 269-2255
2084 W Main St
Milan, TN 38358
Phone (731) 686-8321
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1043248776
-
- Psychiatric/Mental Health Nurse Practitioner
- Knoxville, TN
- NPI 1801524624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332288000000",
"number": "1447245295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 TAZEWELL PIKE",
"address_2": "SUITE G",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379181880",
"telephone_number": "865-924-0318",
"fax_number": "865-470-7133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 TAZEWELL PIKE",
"address_2": "SUITE G",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379181880",
"telephone_number": "865-924-0318",
"fax_number": "865-470-7133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONALD",
"first_name": "LIZ",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-19",
"last_updated": "2012-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "P1153",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3681456",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.