Alba Leticia Donovan, PHD

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

License

33772 Issued in CA

Practice address

Colony Dr
San Luis Obispo, CA 93409-0001

Phone

(805) 602-7229

NPI assigned

Sep 7, 2011

Last updated

May 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Alba Leticia Tapia Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1952682601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S SANTA CRUZ AVE STE 300",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950306827",
            "telephone_number": "805-602-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COLONY DR",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934090001",
            "telephone_number": "805-602-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "ALBA",
        "middle_name": "LETICIA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-07",
        "last_updated": "2024-05-15",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "CA",
            "license": "33772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALBA",
            "last_name": "TAPIA",
            "middle_name": "LETICIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amber Nicole Dominguez
• Chiyeko Dominguez
• Veronica Dominguez
• Donald a. Ramberg M.D., Inc.
• Mark Flavius Donaldson, M.D.
• Dawn Donovan
• Savannah Michele Donovan
• Allen Doran, M.D.
• Robert J Doria, MD, FACC
• Shannon Yvonne Dornbrach

• Forensic Psychologist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Forensic Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.