Active NPI
Elizabeth Donegan, PSYD
- Clinical Psychologist
- Oak Brook, IL
National Provider Identifier
1467955971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.006770
- Practice address
- 2625 Butterfield Rd Ste 138S
Oak Brook, IL 60523-1244 - Phone
- (336) 213-0252
- NPI assigned
- Mar 10, 2018
- 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 | 071.006770 | IL | Primary |
Addresses
Primary practice location
2625 Butterfield Rd Ste 138S
Oak Brook, IL 60523-1244
Mailing address
529 Forest Ave
River Forest, IL 60305-1707
Phone (336) 213-0253
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071.006770 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520640000000",
"number": "1467955971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "529 FOREST AVE",
"city": "RIVER FOREST",
"state": "IL",
"postal_code": "603051707",
"telephone_number": "336-213-0253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 BUTTERFIELD RD STE 138S",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605231244",
"telephone_number": "336-213-0252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONEGAN",
"first_name": "ELIZABETH",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-10",
"last_updated": "2018-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.006770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Brook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.