Individual provider Active NPI

Ellen Marie Dontigney, PH.D.

  • School Psychologist
  • Yakima, WA
National Provider Identifier
1932877040
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
218242 Issued in WA
Practice address
11947 Wide Hollow Rd
Yakima, WA 98908-9194
Phone
(509) 964-8092
Fax
(509) 225-9901
NPI assigned
Sep 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 218242 WA Primary

Addresses

Primary practice location

11947 Wide Hollow Rd
Yakima, WA 98908-9194

Mailing address

11947 Wide Hollow Rd
Yakima, WA 98908-9194
Phone (509) 964-8092

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

LicenseStateTypeSpecialty
218242WAMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1932877040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11947 WIDE HOLLOW RD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989089194",
            "telephone_number": "509-964-8092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11947 WIDE HOLLOW RD",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989089194",
            "telephone_number": "509-964-8092",
            "fax_number": "509-225-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONTIGNEY",
        "first_name": "ELLEN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "WA",
            "license": "218242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.