Individual provider Active NPI

Donna Marie Ignelzi-Ferraro, PHD

  • Psychologist
  • Ocean Pines, MD
National Provider Identifier
1538178975
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
04036 Issued in MD
Practice address
11042 Nicholas LN
Suite 103B
Ocean Pines, MD 21811-3299
Phone
(410) 208-4784
Fax
(410) 208-4786
NPI assigned
Aug 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 04036 MD Primary
Psychologist 103T00000X B10000425 DE

Addresses

Primary practice location

11042 Nicholas LN
Suite 103B
Ocean Pines, MD 21811-3299

Mailing address

11042 Nicholas LN
Suite 103B
Ocean Pines, MD 21811-3299
Phone (410) 208-4784

Other identifiers 7

IdentifierTypeStateIssuer
54867704OtherMDBCBS OF MD
G8000002OtherMDBCBS NATIONAL
PVPB179236OtherMDAPS
322005OtherMDTRICARE
359615OtherMDMAMSI
6172984OtherMDUNITED BEHAVIORAL HEALTH
7332418OtherMDAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131025000345 DE Practitioner - Clinical Psychologist 7618045063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

31272 Olney Way
Millsboro, DE 19966-1822
Phone (410) 430-5754

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
B10000425DEMDPsychologist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538178975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11042 NICHOLAS LN",
            "address_2": "SUITE 103B",
            "city": "OCEAN PINES",
            "state": "MD",
            "postal_code": "218113299",
            "telephone_number": "410-208-4784",
            "fax_number": "410-208-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11042 NICHOLAS LN",
            "address_2": "SUITE 103B",
            "city": "OCEAN PINES",
            "state": "MD",
            "postal_code": "218113299",
            "telephone_number": "410-208-4784",
            "fax_number": "410-208-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGNELZI-FERRARO",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "04036",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DE",
            "license": "B10000425",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MD",
            "identifier": "54867704",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NATIONAL",
            "identifier": "G8000002",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APS",
            "identifier": "PVPB179236",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "322005",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "359615",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "6172984",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7332418",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Pines, MD

Sources for this page

Verify at the official NPI Registry.