Organization Active NPI

Laurie Friedman Donze, PH.D., P.C.

  • Clinical Psychologist
  • Crownsville, MD
National Provider Identifier
1447562962
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
03396 Issued in MD
Legal business name
LAURIE FRIEDMAN DONZE, PH.D., P.C.
Practice address
784 Shelton Rd
# B
Crownsville, MD 21032-1735
Phone
(443) 286-1787
Fax
(410) 923-1429
NPI assigned
Jul 13, 2010
Last updated
Sep 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Authorized official

Name
Dr. Laurie Friedman Donze, PH.D.NPI 1649475724
Title
Clinical Psychologist
Phone
(443) 286-1787

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 Psychologist 103TC0700X 03396 MD Primary

Addresses

Primary practice location

784 Shelton Rd
# B
Crownsville, MD 21032-1735

Mailing address

784 Shelton Rd
# B
Crownsville, MD 21032-1735
Phone (443) 286-1787

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100728000694 MD Part B Supplier - Clinic/Group Practice 9830222884 Receives reassigned benefits from 1 practitioner
Practice locations: Crownsville, MD

National Provider Directory

National Provider Directory

Locations

784 Shelton Rd
#B
Crownsville, MD 21032
Phone (443) 286-1787

784B Shelton Rd
Crownsville, MD 21032
Phone (443) 286-1787

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1447562962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 SHELTON RD",
            "address_2": "# B",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210321735",
            "telephone_number": "443-286-1787",
            "fax_number": "410-923-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 SHELTON RD",
            "address_2": "# B",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210321735",
            "telephone_number": "443-286-1787",
            "fax_number": "410-923-1429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURIE FRIEDMAN DONZE, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-13",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "DONZE",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "FRIEDMAN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "443-286-1787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "03396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crownsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.