Individual provider Active NPI

Jo-Ann Lynn Donatelli, PH.D.

  • Clinical Psychologist
  • Providence, RI
National Provider Identifier
1902949571
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS01056 Issued in RI
Practice address
2 Richmond SQ
Suite 100
Providence, RI 02906-5100
Phone
(401) 533-9994
Fax
(401) 751-8997
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PST00084 RI
Clinical Psychologist 103TC0700X PS01056 RI Primary

Addresses

Primary practice location

2 Richmond SQ
Suite 100
Providence, RI 02906-5100

Mailing address

1 Richmond SQ
Suite 100C
Providence, RI 02906-5139
Phone (401) 533-9994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20080227000437 RI Practitioner - Clinical Psychologist 8123102258 Practice locations: Providence, RI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Richmond Square
Suite 100C
Providence, RI 02906-5154

Jo Ann Donatelli PHD
1 Richmond Squaresuite 100C
Providence, RI 02906-5154
Phone (401) 533-9994

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PS01056RIMDClinical Psychologist
PST00084RIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jo-Ann L. Donatelli, PH.D., Inc. Clinical Past Accepting new patients

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1902949571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RICHMOND SQ",
            "address_2": "SUITE 100C",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065139",
            "telephone_number": "401-533-9994",
            "fax_number": "401-751-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 RICHMOND SQ",
            "address_2": "SUITE 100",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065100",
            "telephone_number": "401-533-9994",
            "fax_number": "401-751-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONATELLI",
        "first_name": "JO-ANN",
        "middle_name": "LYNN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PST00084",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS01056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.