Individual provider Active NPI

Laurie Friedman Donze, PH.D.

  • Clinical Psychologist
  • Crownsville, MD
National Provider Identifier
1649475724
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3396 Issued in MD
Practice address
784 Shelton Rd # B
Crownsville, MD 21032-1735
Phone
(443) 286-1787
Fax
(678) 985-4855
NPI assigned
Jun 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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 3396 MD Primary

Addresses

Primary practice location

784 Shelton Rd # B
Crownsville, MD 21032-1735

Mailing address

784B Shelton Rd
Crownsville, MD 21032-1735
Phone (443) 286-1787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20100927000136 MD Practitioner - Clinical Psychologist 0749313799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Michigan State University College of Human Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

784 B Shelton Rd
Crownsville, MD 21032-1735
Phone (443) 286-1787

784 Shelton Rd B
Crownsville, MD 21032-1735

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3396MDMDClinical Psychologist

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": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1649475724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784B SHELTON RD",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210321735",
            "telephone_number": "443-286-1787",
            "fax_number": "678-985-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 SHELTON RD # B",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210321735",
            "telephone_number": "443-286-1787",
            "fax_number": "678-985-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONZE",
        "first_name": "LAURIE",
        "middle_name": "FRIEDMAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "3396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crownsville, MD

Sources for this page

Verify at the official NPI Registry.