Individual provider Active NPI

Leonard J Donk, PHD

  • Clinical Child & Adolescent Psychologist
  • Cupertino, CA
National Provider Identifier
1942420591
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
9064 Issued in CA
Practice address
20111 Stevens Creek Blvd
Suite 250
Cupertino, CA 95014-2399
Phone
(408) 366-9910
Fax
(408) 366-9915
NPI assigned
Apr 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 9064 CA
Cognitive & Behavioral Psychologist 103TB0200X 9064 CA
Clinical Psychologist 103TC0700X 9064 CA
Counseling Psychologist 103TC1900X 9064 CA
Clinical Child & Adolescent Psychologist 103TC2200X 9064 CA Primary
Forensic Psychologist 103TF0200X 9064 CA
Health Psychologist 103TH0004X 9064 CA
Psychoanalysis Psychologist 103TP0814X 9064 CA

Addresses

Primary practice location

20111 Stevens Creek Blvd
Suite 250
Cupertino, CA 95014-2399

Mailing address

20111 Stevens Creek Blvd
Suite 250
Cupertino, CA 95014-2399
Phone (408) 366-9910

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
9064CAMDLicensed Psychiatric Technician

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1942420591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20111 STEVENS CREEK BLVD",
            "address_2": "SUITE 250",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950142399",
            "telephone_number": "408-366-9910",
            "fax_number": "408-366-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20111 STEVENS CREEK BLVD",
            "address_2": "SUITE 250",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950142399",
            "telephone_number": "408-366-9910",
            "fax_number": "408-366-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONK",
        "first_name": "LEONARD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "9064",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "9064",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "9064",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "9064",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "9064",
            "primary": true
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "CA",
            "license": "9064",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "CA",
            "license": "9064",
            "primary": false
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "CA",
            "license": "9064",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cupertino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.