Active NPI
Cleary M Donovan, PSY. D.
- Clinical Psychologist
- Anchorage, AK
National Provider Identifier
1699105502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 598
- Practice address
- 4951 Business Park Blvd
Anchorage Neighborhood Health Center
Anchorage, AK 99503 - Phone
- (907) 743-7613
- Fax
- (907) 743-7252
- NPI assigned
- Nov 14, 2013
- Last updated
- Nov 14, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 598 | AK | Primary |
Addresses
Primary practice location
4951 Business Park Blvd
Anchorage Neighborhood Health Center
Anchorage, AK 99503
Mailing address
4951 Business Park Blvd
Anchorage Neighborhood Health Center
Anchorage, AK 99503
Phone (907) 743-7613
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 598 | AK | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384387200000",
"number": "1699105502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4951 BUSINESS PARK BLVD",
"address_2": "ANCHORAGE NEIGHBORHOOD HEALTH CENTER",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99503",
"telephone_number": "907-743-7613",
"fax_number": "907-743-7252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4951 BUSINESS PARK BLVD",
"address_2": "ANCHORAGE NEIGHBORHOOD HEALTH CENTER",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "99503",
"telephone_number": "907-743-7613",
"fax_number": "907-743-7252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOVAN",
"first_name": "CLEARY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PSY. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-14",
"last_updated": "2013-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AK",
"license": "598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.