Active NPI
Lisa Donohue, M.D.
- Psychosomatic Medicine Physician
- New York, NY
National Provider Identifier
1710153457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychosomatic Medicine Physician
- License
- 285515
- Practice address
- 208 W 13TH St
New York, NY 10011-7702 - Phone
- (212) 620-7310
- NPI assigned
- May 2, 2008
- 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 |
|---|---|---|---|---|
| Psychosomatic Medicine Physician | 2084P0015X | 285515 | NY | Primary |
Addresses
Primary practice location
208 W 13TH St
New York, NY 10011-7702
Mailing address
3333 Broadway
C27K
New York, NY 10031-8726
Phone (516) 503-1321
Other practice location 1
356 W 18th St
New York, NY 10011-4401
Phone (212) 271-7200
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- State University of New York at Stony Brook, School of Medicine, 2008
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
208 W 13TH St
New York, NY 10011-7702
Phone (212) 620-7310
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lesbian and Gay Community Services Center, Inc. | Current | Accepting new patients | |
| Lesbian and Gay Community Services Center, Inc. | Current | Accepting new patients |
Locations
208 W 13th St
New York, NY 10011
Phone (212) 620-7310
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1821801929
-
dba The Lesbian, Gay, Bisexual and Transgender Community Center
- Community/Behavioral Health Agency
- New York, NY
- NPI 1669668224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741478400000",
"number": "1710153457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 BROADWAY",
"address_2": "C27K",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100318726",
"telephone_number": "516-503-1321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 W 13TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100117702",
"telephone_number": "212-620-7310"
}
],
"practiceLocations": [
{
"address_1": "356 W 18th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100114401",
"country_code": "US",
"telephone_number": "212-271-7200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DONOHUE",
"first_name": "LISA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-02",
"last_updated": "2025-03-09",
"certification_date": "2025-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0015X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychosomatic Medicine",
"state": "NY",
"license": "285515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.