Individual provider Active NPI

Mary P Donahue, PH.D.

  • Counseling Psychologist
  • Kittery, ME
National Provider Identifier
1760769673
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PS1331 Issued in ME
Practice address
517 US Route 1
Kittery, ME 03904-5514
Phone
(207) 351-6719
Fax
(207) 351-3046
NPI assigned
Nov 5, 2011
Last updated
Jul 16, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PS1331 ME Primary

Addresses

Primary practice location

517 US Route 1
Kittery, ME 03904-5514

Mailing address

PO Box 838
York, ME 03909-0838
Phone (207) 351-6719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200601002397 ME Practitioner - Clinical Psychologist 2668623588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

433 US Route 1
Suite 104D
York, ME 03909-1660
Phone (207) 351-6719

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS1331MEMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Paths Psychological Services CurrentSince Mar 1, 2020 Accepting new patients

Locations

433 US Route 1
Ste 104D
York, ME 03909
Phone (207) 351-6719

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1320451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342396800000",
    "number": "1760769673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 838",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039090838",
            "telephone_number": "207-351-6719",
            "fax_number": "207-351-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 US ROUTE 1",
            "city": "KITTERY",
            "state": "ME",
            "postal_code": "039045514",
            "telephone_number": "207-351-6719",
            "fax_number": "207-351-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONAHUE",
        "first_name": "MARY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-05",
        "last_updated": "2012-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "ME",
            "license": "PS1331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kittery, ME

Sources for this page

Verify at the official NPI Registry.