Amanda Jill Donlon

Primary specialty

PsychologistTaxonomy code 103T00000X

License

023292 Issued in NY

Practice address

1 Stadium Road Student Health Services 2ND FL
Stony Brook, NY 11794-2518

Phone

(631) 632-6720

NPI assigned

Apr 28, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1952046591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21339 40TH AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612046",
            "telephone_number": "607-661-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 STADIUM ROAD STUDENT HEALTH SERVICES 2ND FL",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117942518",
            "telephone_number": "631-632-6720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2975 Westchester Ave",
            "address_purpose": "LOCATION",
            "city": "Purchase",
            "state": "NY",
            "postal_code": "105772518",
            "country_code": "US",
            "telephone_number": "914-358-9927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONLON",
        "first_name": "AMANDA",
        "middle_name": "JILL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-28",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "023292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Donarummo, MD
• Giaynel Paulette Donatelli, MD
• Manasa Dondapati
• Susan Donelan, M.D.
• Priyanka Dongare, DO
• Alexandra Hailey Donnelly, DO
• Kathaleen Frances Donnelly, A.N.P.
• Kerry Ann Donnelly, CCC-SLP
• Kathleen Doobinin, MD
• Cheryl Dorfman

• Psychologist in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; 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.