Marie McDonald, Psy.D., P.a.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

PY4236 Issued in FL

Legal business name

MARIE MCDONALD, PSY.D., P.A.

Practice address

51 Wallace Ave
Sarasota, FL 34237-6025

Phone

(941) 954-8978

NPI assigned

Jun 12, 2012

Last updated

Jun 15, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marie Hetu McDonald, PSY.D.

Title

President

Phone

(941) 954-8978

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1932461365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 WALLACE AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342376025",
            "telephone_number": "941-954-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 WALLACE AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342376025",
            "telephone_number": "941-954-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE MCDONALD, PSY.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "HETU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-954-8978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "PY4236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11529802",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "G01AY",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.