Individual provider Active NPI

Stephen P Donahue, M.A.

  • Psychologist
  • Prospect Park, PA
National Provider Identifier
1932297686
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS008101L Issued in PA
Practice address
815 Chester Pike
Prospect Park, PA 19076-2322
Phone
(973) 264-0023
Fax
(973) 264-0022
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X PS008101L PA
Psychologist 103T00000X PS008101L PA Primary

Addresses

Primary practice location

815 Chester Pike
Prospect Park, PA 19076-2322

Mailing address

2719 Hollywood Blvd Ste 5469
Hollywood, FL 33020-4821
Phone (973) 264-0023

Other practice location 1

807 Lawn Ave
Sellersville, PA 18960-1549
Phone (215) 257-6551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240723004577 PA Practitioner - Marriage and Family Therapist 4486904661 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Care Therapy of Pennsylvania PCGroup PAC ID 2264791268, 28 clinicians

Practice addresses (Care Compare)

Prospect Park, PA 19076
Phone (973) 264-0023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PS008101LPAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Care Therapy of Pennsylvania, P.C. Marriage & Family Therapist CurrentSince Apr 20, 2024 Accepting new patients

Locations

2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555

815 Chester Pike
Prospect Park, PA 19076
Phone (610) 586-6262

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1932297686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 HOLLYWOOD BLVD STE 5469",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330204821",
            "telephone_number": "973-264-0023",
            "fax_number": "973-264-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 CHESTER PIKE",
            "city": "PROSPECT PARK",
            "state": "PA",
            "postal_code": "190762322",
            "telephone_number": "973-264-0023",
            "fax_number": "973-264-0022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "807 Lawn Ave",
            "address_purpose": "LOCATION",
            "city": "Sellersville",
            "state": "PA",
            "postal_code": "189601549",
            "country_code": "US",
            "telephone_number": "215-257-6551",
            "fax_number": "215-453-5181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONAHUE",
        "first_name": "STEPHEN",
        "middle_name": "P",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "PA",
            "license": "PS008101L",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS008101L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect Park, PA

Sources for this page

Verify at the official NPI Registry.