Active NPI
Kathleen M. Donohue, PH.D.
- Clinical Psychologist
- San Mateo, CA
National Provider Identifier
1619229150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 19621
- Practice address
- 155 Bovet Rd
Suite 404
San Mateo, CA 94402-3108 - Phone
- (650) 918-0720
- NPI assigned
- Oct 8, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 19621 | CA | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 19621 | CA |
Addresses
Primary practice location
155 Bovet Rd
Suite 404
San Mateo, CA 94402-3108
Mailing address
155 Bovet Rd
Suite 404
San Mateo, CA 94402-3108
Phone (650) 918-0720
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349654400000",
"number": "1619229150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 BOVET RD",
"address_2": "SUITE 404",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944023108",
"telephone_number": "650-918-0720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 BOVET RD",
"address_2": "SUITE 404",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944023108",
"telephone_number": "650-918-0720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOHUE",
"first_name": "KATHLEEN",
"middle_name": "M.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-08",
"last_updated": "2012-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "19621",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "19621",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.