Active NPI
Jill M Donelan, PSY.D.
- Clinical Psychologist
- Hartford, CT
National Provider Identifier
1508134875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 10049-PY-PR
- Practice address
- 331 Wethersfield Ave
The Village for Families and Children
Hartford, CT 06114 - Phone
- (860) 236-4511
- Fax
- (860) 231-8449
- NPI assigned
- Dec 1, 2011
- Sex
- Female
- 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 | 10049-PY-PR | MA | Primary |
Addresses
Primary practice location
331 Wethersfield Ave
The Village for Families and Children
Hartford, CT 06114
Mailing address
150 Lower Westfield Rd
Holyoke, MA 01040-2890
Phone (413) 322-4984
Other names 1
- Dr. Jill M Donelan
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10049-PY-PR | MA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528329600000",
"number": "1508134875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 LOWER WESTFIELD RD",
"city": "HOLYOKE",
"state": "MA",
"postal_code": "010402890",
"telephone_number": "413-322-4984",
"fax_number": "133-224-4992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 WETHERSFIELD AVE",
"address_2": "THE VILLAGE FOR FAMILIES AND CHILDREN",
"city": "HARTFORD",
"state": "CT",
"postal_code": "06114",
"telephone_number": "860-236-4511",
"fax_number": "860-231-8449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONELAN",
"first_name": "JILL",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-01",
"last_updated": "2018-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "10049-PY-PR",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JILL",
"last_name": "DONELAN",
"middle_name": "M",
"prefix": "DR.",
"credential": "PSY.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.