Leo P Donovan Jr PHD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

560 Issued in CT

Legal business name

LEO P DONOVAN JR PHD LLC

Practice address

239 Hamilton Ave Apt 8
Stamford, CT 06902-3480

Phone

(203) 359-4560

Fax

(203) 359-4913

NPI assigned

Mar 22, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Leo P Donovan Jr., PH.D.

Title

Manager

Phone

(203) 359-4560

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302998400000",
    "number": "1760781371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 HAMILTON AVE APT 8",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023480",
            "telephone_number": "203-359-4560",
            "fax_number": "203-359-4913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 HAMILTON AVE APT 8",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023480",
            "telephone_number": "203-359-4560",
            "fax_number": "203-359-4913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEO P DONOVAN JR PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-22",
        "last_updated": "2011-04-17",
        "status": "A",
        "authorized_official_last_name": "DONOVAN",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "203-359-4560",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1316016611",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004183274",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janice Gross Leiper, LCSW
• Delaney Rose Lenaghan
• Jonathan Lennon, MD
• Margaret H Lennon, APRN
• Donna M Lentini, APRN
• Jenny Leonidas
• Beth H. Leopold, M.D.
• Sheila Lesensky, OT
• Courtney Shay Lester, PMHNP-BC
• Marissa Letizio

• Clinical Psychologist in Stamford, CT
• Providers in Stamford, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2011; 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.