Organization Active NPI

Darcy Donnelly PHD PC

  • Clinical Psychologist
  • Bloomfield Hills, MI
National Provider Identifier
1568940930
Registry record updated Jul 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DARCY DONNELLY PHD PC
Practice address
39520 Woodward Ave Ste 233
Bloomfield Hills, MI 48304-5059
Phone
(248) 520-3155
Fax
(248) 779-7108
NPI assigned
Jul 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2018

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

Authorized official

Name
Dr. Darcy Lee Donnelly, PH.D.NPI 1154640688
Title
Clinical Psychologist
Phone
(248) 520-3155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

39520 Woodward Ave Ste 233
Bloomfield Hills, MI 48304-5059

Mailing address

39520 Woodward Ave Ste 233
Bloomfield Hills, MI 48304-5059
Phone (248) 520-3155

Other practice location 1

39520 Farmington Rd.
Livonia, MI 48152
Phone (248) 520-3155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181023003244 MI Part B Supplier - Clinic/Group Practice 1254684194 Receives reassigned benefits from 1 practitioner
Practice locations: Bloomfield Hills, MI; Livonia, MI

National Provider Directory

National Provider Directory

Locations

39520 Woodward Ave
Ste 233
Bloomfield Hills, MI 48304
Phone (248) 520-3155

19500 Middlebelt Rd
Ste 216W
Livonia, MI 48152
Phone (248) 520-3155

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532908800000",
    "number": "1568940930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39520 WOODWARD AVE STE 233",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483045059",
            "telephone_number": "248-520-3155",
            "fax_number": "248-779-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39520 WOODWARD AVE STE 233",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483045059",
            "telephone_number": "248-520-3155",
            "fax_number": "248-779-7108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39520 Farmington Rd.",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "48152",
            "country_code": "US",
            "telephone_number": "248-520-3155",
            "fax_number": "248-799-7108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DARCY DONNELLY PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-30",
        "last_updated": "2018-07-30",
        "status": "A",
        "authorized_official_last_name": "DONNELLY",
        "authorized_official_first_name": "DARCY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "248-520-3155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.