Elise Wojewoda Donaghy, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301019136 Issued in MI

Practice address

500 E Washington St Ste 100
Ann Arbor, MI 48104-2057

Phone

(734) 615-7853

NPI assigned

Oct 18, 2022

Last updated

Oct 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elise Ann Wojewoda Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1508582776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 TIBBITS CT",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051166",
            "telephone_number": "253-325-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E WASHINGTON ST STE 100",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042057",
            "telephone_number": "734-615-7853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAGHY",
        "first_name": "ELISE",
        "middle_name": "WOJEWODA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301019136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISE",
            "last_name": "WOJEWODA",
            "middle_name": "ANN",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Domini, MD
• Domino Med Pharmacy LLC
• Steven E Domino, MD
• Sarah Elizabeth Domoff, PH.D.
• Alex Clayton Donaghy, M.D.
• Marilyn Jean Donahue, RN, MS, CS
• Melanie Kathleen Donahue, MD
• Therese Marie Donahue, LMSW, ACSW
• Donald a. Wennersten D.D.S., P.C.
• Donald Wurtzel DDS PC

• Psychologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.