Active NPI
Beverly Sue Donovan, PH.D
- Clinical Psychologist
- Stow, OH
National Provider Identifier
1700996428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4976
- Practice address
- 1017 Tall Grass Cir Apt 102
Stow, OH 44224-6905 - Phone
- (440) 526-3030
- Fax
- (440) 838-6085
- NPI assigned
- Aug 30, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4976 | OH | |
| Clinical Psychologist | 103TC0700X | 4976 | OH | Primary |
Addresses
Primary practice location
1017 Tall Grass Cir Apt 102
Stow, OH 44224-6905
Mailing address
1017 Tall Grass Cir Apt 102
Stow, OH 44224-6905
Phone (440) 526-3030
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4976 | OH | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1700996428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 TALL GRASS CIR APT 102",
"city": "STOW",
"state": "OH",
"postal_code": "442246905",
"telephone_number": "440-526-3030",
"fax_number": "440-838-6085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1017 TALL GRASS CIR APT 102",
"city": "STOW",
"state": "OH",
"postal_code": "442246905",
"telephone_number": "440-526-3030",
"fax_number": "440-838-6085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONOVAN",
"first_name": "BEVERLY",
"middle_name": "SUE",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "4976",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "4976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stow, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.