Active NPI
Tellis Colt Donajkowski, MA PSYCHOLOGY
- Counseling Psychologist
- Livonia, MI
National Provider Identifier
1790302255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 6362009882
- Practice address
- 33137 Schoolcraft Rd
Livonia, MI 48150-1625 - Phone
- (248) 243-8033
- NPI assigned
- Jul 1, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 6362009882 | MI | Primary |
Addresses
Primary practice location
33137 Schoolcraft Rd
Livonia, MI 48150-1625
Mailing address
33137 Schoolcraft Rd
Livonia, MI 48150-1625
Phone (248) 243-8033
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6362009882 | MI | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742256000000",
"number": "1790302255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33137 SCHOOLCRAFT RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481501625",
"telephone_number": "248-243-8033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33137 SCHOOLCRAFT RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481501625",
"telephone_number": "248-243-8033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONAJKOWSKI",
"first_name": "TELLIS",
"middle_name": "COLT",
"credential": "MA PSYCHOLOGY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-07-01",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "6362009882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.