Active NPI
Kevin P Donovan, PH.D
- Clinical Psychologist
- Leavenworth, KS
National Provider Identifier
1497198501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2117
- Practice address
- 1503 Ohio St
Leavenworth, KS 66048-2932 - Phone
- (888) 362-8704
- NPI assigned
- Apr 9, 2013
- Sex
- Male
- Sole proprietor
- No
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 | 2117 | KS | Primary |
Addresses
Primary practice location
1503 Ohio St
Leavenworth, KS 66048-2932
Mailing address
3545 Tudor Dr
Leavenworth, KS 66048-5301
Phone (913) 682-8700
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365465600000",
"number": "1497198501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3545 TUDOR DR",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "660485301",
"telephone_number": "913-682-8700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1503 OHIO ST",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "660482932",
"telephone_number": "888-362-8704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOVAN",
"first_name": "KEVIN",
"middle_name": "P",
"name_prefix": "Mr.",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-09",
"last_updated": "2013-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KS",
"license": "2117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leavenworth, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.