Individual provider Active NPI

Emily Donovan

  • Mental Health Counselor
  • Yonkers, NY
National Provider Identifier
1679237325
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
112487-01 Issued in NY
Practice address
73 Market St Ste 376
Yonkers, NY 10710-7619
Phone
(347) 674-0797
Fax
(347) 824-2015
NPI assigned
Oct 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 112487-01 NY Primary

Addresses

Primary practice location

73 Market St Ste 376
Yonkers, NY 10710-7619

Mailing address

73 Market St Ste 376
Yonkers, NY 10710-7619
Phone (347) 674-0797

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.allymentalhealth.org Direct Ally Mental Health Counseling Services

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20241203003158 NY Practitioner - Mental Health Counselor 4385179175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Osier Health PCGroup PAC ID 6507229317, 12 clinicians

Practice addresses (Care Compare)

169 Madison Ave
New York, NY 10016-5101
Phone (646) 814-1530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
112487-01NYMDMental Health Counselor
013708NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carmel Psychological Health, PC Mental Health CurrentSince Oct 25, 2024 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

667 Stoneleigh Ave
Ste 202
Carmel, NY 10512
Phone (845) 278-5223

560 White Plains Rd
Ste 215
Tarrytown, NY 10591
Phone (914) 218-2818

Organizations & group practices 2

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": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1679237325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 MARKET ST STE 376",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107107619",
            "telephone_number": "347-674-0797",
            "fax_number": "347-824-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 MARKET ST STE 376",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107107619",
            "telephone_number": "347-674-0797",
            "fax_number": "347-824-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "112487-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.allymentalhealth.org",
            "affiliation": "Y",
            "affiliationName": "Ally Mental Health Counseling Services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "73 Market St Ste 376",
            "city": "Yonkers",
            "state": "NY",
            "country_code": "US",
            "postal_code": "107107619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.