Carolyn D Donoghue, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2497 Issued in OH

Practice address

13425 Detroit Avenue
Lakewood, OH 44107-4608

Phone

(216) 228-3500

Fax

(216) 228-5818

NPI assigned

May 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Berko Psychological Associates, Inc

  • Psychologist
  • Solon, OH
  • NPI 1700891413
  NPD (past)
• Berko Psychological Associates, Inc.

  • Family Nurse Practitioner
  • Solon, OH
  • NPI 1689712739
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891917050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 STILLMAN RD.",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441182832",
            "telephone_number": "216-228-3500",
            "fax_number": "216-228-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13425 DETROIT AVENUE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074608",
            "telephone_number": "216-228-3500",
            "fax_number": "216-228-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOGHUE",
        "first_name": "CAROLYN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "2497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eiman Domani
• Christine Diane Donaldson, P.T.
• Maggie Eileen Donaldson, DO
• Jennifer Dongilli, RN
• Megan Berg Donnelly, CT
• Dr Jerome J Lamendola LLC
• Dr. Mark S. Massie, L.L.C.
• Ann M Driscoll, LIC. AC.
• DRS Robert L & Christopher J Harter Inc
• Keti S Dubow, PHARMD, RPH

• Psychologist in Lakewood, OH
• Providers in Lakewood, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.