Individual provider Active NPI

Margaret Ann Donohue, PHD

  • Forensic Psychologist
  • Glendale, CA
National Provider Identifier
1457381501
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
License
PSY9038 Issued in CA
Practice address
135 S Jackson St Ste 204
Glendale, CA 91205-4918
Phone
(818) 389-8384
Fax
(310) 289-8581
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PY0503 NV
Forensic Psychologist 103TF0200X PSY9038 CA Primary

Addresses

Primary practice location

135 S Jackson St Ste 204
Glendale, CA 91205-4918

Mailing address

25470 Sheffield LN
Santa Clarita, CA 91350-3011
Phone (661) 255-7171

Other names 1

  • Dr. Margaret Ann McNicholl Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jun 18, 2019 through Jun 18, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY0503NVMDClinical Neuropsychologist
PSY9038CAMDForensic Psychologist
9038CAMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1457381501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25470 SHEFFIELD LN",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913503011",
            "telephone_number": "661-255-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 S JACKSON ST STE 204",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054918",
            "telephone_number": "818-389-8384",
            "fax_number": "310-289-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOHUE",
        "first_name": "MARGARET",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NV",
            "license": "PY0503",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "CA",
            "license": "PSY9038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "MCNICHOLL",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.