Neil F. O'Donnell, PHD, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301011534 Issued in MI

Legal business name

NEIL F. O'DONNELL, PHD, P.C.

Practice address

2150 S Airport Rd W
Suitea
Traverse City, MI 49684-4705

Phone

(231) 929-9511

Fax

(231) 929-4790

NPI assigned

Jan 28, 2011

Last updated

Jan 28, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ann Clare O'Donnell, PSYDNPI 1760521314

Title

Partner

Phone

(231) 929-9511

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Neil Frederick O'Donnell, PH.D.

  • Clinical Psychologist
  • Traverse City, MI
  • NPI 1548300601
  Medicare reassignment NPD
• Ann Clare O'Donnell, PSY.D.

  • Clinical Psychologist
  • Traverse City, MI
  • NPI 1760521314
  NPD (past) Authorized official

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1720384415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 S AIRPORT RD W",
            "address_2": "SUITEA",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844705",
            "telephone_number": "231-929-9511",
            "fax_number": "231-929-4790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 S AIRPORT RD W",
            "address_2": "SUITEA",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844705",
            "telephone_number": "231-929-9511",
            "fax_number": "231-929-4790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL F. O'DONNELL, PHD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "O'DONNELL",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "CLARE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "231-929-9511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301011534",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301011799",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "MI",
            "license": "6301011799",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD MICHIGAN",
            "identifier": "68-0-B8-4532-0",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD MICHIGAN",
            "identifier": "68-0-B8-1130-0",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John William Nay
• Lois M Neering, ANP-BC
• Christine Ann Nefcy, MD
• Neh PC (M22 Clinic)
• Alison Cherie Neihardt, LPC
• April Dawn Nelson, ABOC
• Donna M Nelson, R.N., F.N.P.
• Reann Nelson
• Noel Terry Nerbonne, RPH
• Ronald Dean Nervig, MD

• Clinical Psychologist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.