Active NPI
Doris Mary Donoghue, M.D.
- Psychiatry Physician
- Aptos, CA
National Provider Identifier
1447496328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G068984
- Practice address
- 6233 Soquel Dr
Suite a
Aptos, CA 95003-3184 - Phone
- (831) 464-1425
- Fax
- (831) 708-2101
- NPI assigned
- Dec 26, 2008
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G068984 | CA | Primary |
Addresses
Primary practice location
6233 Soquel Dr
Suite a
Aptos, CA 95003-3184
Mailing address
6233 Soquel Dr
Suite a
Aptos, CA 95003-3184
Phone (831) 464-1425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 5, 2020 through Mar 5, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G068984 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1230249600000",
"number": "1447496328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6233 SOQUEL DR",
"address_2": "SUITE A",
"city": "APTOS",
"state": "CA",
"postal_code": "950033184",
"telephone_number": "831-464-1425",
"fax_number": "831-708-2101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6233 SOQUEL DR",
"address_2": "SUITE A",
"city": "APTOS",
"state": "CA",
"postal_code": "950033184",
"telephone_number": "831-464-1425",
"fax_number": "831-708-2101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOGHUE",
"first_name": "DORIS",
"middle_name": "MARY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-26",
"last_updated": "2008-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G068984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aptos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.