Active NPI
Ronald R O'Donnell, PH.D.
- Clinical Psychologist
- Marlborough, MA
National Provider Identifier
1932364528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6065
- Practice address
- 280 Sudbury St
Marlborough, MA 01752-1760 - Phone
- (508) 786-0681
- Fax
- (508) 786-0681
- NPI assigned
- Jul 23, 2008
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6065 | MA | |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 6065 | MA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 6065 | MA | |
| Clinical Psychologist | 103TC0700X | 6065 | MA | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 6065 | MA | |
| Family Psychologist | 103TF0000X | 6065 | MA | |
| Health Psychologist | 103TH0004X | 6065 | MA |
Addresses
Primary practice location
280 Sudbury St
Marlborough, MA 01752-1760
Mailing address
280 Sudbury St
Marlborough, MA 01752-1760
Phone (508) 786-0681
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6065 | MA | MD | Cognitive & Behavioral Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216771200000",
"number": "1932364528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 SUDBURY ST",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017521760",
"telephone_number": "508-786-0681",
"fax_number": "508-786-0681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 SUDBURY ST",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017521760",
"telephone_number": "508-786-0681",
"fax_number": "508-786-0681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DONNELL",
"first_name": "RONALD",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-23",
"last_updated": "2008-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "6065",
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "6065",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "MA",
"license": "6065",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "6065",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "MA",
"license": "6065",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "MA",
"license": "6065",
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "MA",
"license": "6065",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marlborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.