Individual provider Active NPI

Donna Carpenter, PHD

  • Clinical Psychologist
  • Manor, TX
National Provider Identifier
1770079071
Registry record updated Nov 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
36326 Issued in TX
Practice address
11716 Emerald Springs LN
Manor, TX 78653-4146
Phone
(512) 516-0732
NPI assigned
Jul 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 36326 TX Primary

Addresses

Primary practice location

11716 Emerald Springs LN
Manor, TX 78653-4146

Mailing address

11716 Emerald Springs LN
Manor, TX 78653-4146
Phone (512) 516-0732

Other practice location 1

3724 Jefferson St Ste 200
Austin, TX 78731-6221
Phone (512) 516-0732

Other practice location 2

11716 Emerald Springs Ln
Manor, TX 78653-4146
Phone (512) 516-0732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180807000803 TX Practitioner - Clinical Psychologist 8820346935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11716 Emerald Springs LN
Manor, TX 78653-4146
Phone (512) 516-0732

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36326TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Donna Carpenter, PHD, PLLC Clinical CurrentSince Aug 19, 2019 Accepting new patients

Locations

3724 Jefferson St
Ste 200
Austin, TX 78731
Phone (512) 467-0655

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": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762646400000",
    "number": "1770079071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11716 EMERALD SPRINGS LN",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786534146",
            "telephone_number": "512-516-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11716 EMERALD SPRINGS LN",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786534146",
            "telephone_number": "512-516-0732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3724 Jefferson St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787316221",
            "country_code": "US",
            "telephone_number": "512-516-0732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11716 Emerald Springs Ln",
            "address_purpose": "LOCATION",
            "city": "Manor",
            "state": "TX",
            "postal_code": "786534146",
            "country_code": "US",
            "telephone_number": "512-516-0732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "DONNA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2025-11-09",
        "certification_date": "2025-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "36326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manor, TX

Sources for this page

Verify at the official NPI Registry.