Individual provider Active NPI

Kate J Donohoe, BCBA

  • Behavior Analyst
  • Wilton, CT
National Provider Identifier
1720805872
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1949 Issued in CT
Practice address
11 Grumman Hill Rd
Wilton, CT 06897-4500
Phone
(203) 563-9360
Fax
(203) 654-3531
NPI assigned
Sep 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 1949 CT Primary

Addresses

Primary practice location

11 Grumman Hill Rd
Wilton, CT 06897-4500

Mailing address

11 Grumman Hill Rd
Wilton, CT 06897-4500
Phone (203) 563-9360

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

LicenseStateTypeSpecialty
1949CTMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Growth and Development, Inc. CurrentSince Sep 23, 2024 Accepting new patients

Locations

11 Grumman Hill Rd
Wilton, CT 06897
Phone (203) 563-9360

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1726790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1720805872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 GRUMMAN HILL RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974500",
            "telephone_number": "203-563-9360",
            "fax_number": "203-654-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 GRUMMAN HILL RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974500",
            "telephone_number": "203-563-9360",
            "fax_number": "203-654-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOHOE",
        "first_name": "KATE",
        "middle_name": "J",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "CT",
            "license": "1949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.