Individual provider Active NPI

Thomas E Donavan

  • Clinical Psychologist
  • Irvine, CA
National Provider Identifier
1598190886
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY28556 Issued in CA
Practice address
7700 Irvine Center Dr
Suite 800
Irvine, CA 92618-2923
Phone
(949) 528-6300
Fax
(562) 213-2337
NPI assigned
Sep 5, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY28556 CA Primary

Addresses

Primary practice location

7700 Irvine Center Dr
Suite 800
Irvine, CA 92618-2923

Mailing address

7700 Irvine Center Dr
Ste 800
Irvine, CA 92618-3047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2017 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28556CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Biola Counseling Center Clinical Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1598190886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 IRVINE CENTER DR",
            "address_2": "STE 800",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183047",
            "fax_number": "562-213-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 IRVINE CENTER DR",
            "address_2": "SUITE 800",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182923",
            "telephone_number": "949-528-6300",
            "fax_number": "562-213-2337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAVAN",
        "first_name": "THOMAS",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-05",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY28556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.