Peter Flavin Donnelly, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

803 Issued in ME

Practice address

6 D St
South Portland, ME 04106-2820

Phone

(207) 767-7001

Fax

(207) 767-7002

NPI assigned

Feb 7, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710027099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 D ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062820",
            "telephone_number": "207-767-7001",
            "fax_number": "207-767-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 D ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041062820",
            "telephone_number": "207-767-7001",
            "fax_number": "207-767-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNELLY",
        "first_name": "PETER",
        "middle_name": "FLAVIN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ME",
            "license": "803",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "4851",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "427",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ann Doeur, LCSW
• Alison L Doiron, DPT
• Cassandra M Dolan, RD
• John Dolan, D.O.
• Lenora L Dolewa, PT
• Sarah B Doran, OT/L
• Susan Emily Davis Doughty, WHNP C
• Robin Doyle
• Tyler Jesse Doyon
• Dr. Gary W. Smart

• Clinical Psychologist in South Portland, ME
• Providers in South Portland, ME by specialty
• Clinical Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.