Brian Anthony Donatelli, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

296244 Issued in NY

Practice address

9 Beatrice CT
Dix Hills, NY 11746-5302

Phone

(332) 400-6308

Fax

(212) 233-2519

NPI assigned

Apr 7, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• North Shore-Lij Medical PC

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  Medicare reassignment NPD

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1801282736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BEATRICE CT",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465302",
            "telephone_number": "332-400-6308",
            "fax_number": "212-233-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BEATRICE CT",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117465302",
            "telephone_number": "332-400-6308",
            "fax_number": "212-233-2519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "211 East 43rd St.",
            "address_2": "Suite 1305, Office 17",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10017",
            "country_code": "US",
            "telephone_number": "332-400-6308",
            "fax_number": "212-233-2519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Foxcroft Rd",
            "address_purpose": "LOCATION",
            "city": "Manhasset",
            "state": "NY",
            "postal_code": "110303720",
            "country_code": "US",
            "telephone_number": "917-432-8591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONATELLI",
        "first_name": "BRIAN",
        "middle_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-07",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "296244",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "296244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dix Hills Neurological Services, P.C.
• Dix Hills Speech Pathology & Rehabilitation, PLLC
• Sherrie Dobiecki, RN
• Lauren Jenna Dollinger
• Courtenay Dolson
• Katrina M Donnelly, SLP
• Susan Lynn Donnelly, OTR
• Wendy Barbara Doret, PH.D.
• Illana Dubinsky, RD
• Sarah Dubinsky, AGNP

• Psychiatry Physician in Dix Hills, NY
• Providers in Dix Hills, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.