Individual provider Active NPI

Laura Donath, ED.S.

  • School Psychologist
  • Sayre, PA
National Provider Identifier
1982056271
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
1875 Issued in PA
Practice address
77 Lilley Ave
Sayre, PA 18840-9258
Phone
(570) 888-7766
NPI assigned
Jul 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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 1875 PA Primary

Addresses

Primary practice location

77 Lilley Ave
Sayre, PA 18840-9258

Mailing address

133 Hemlock Rd
Apt. 103
Sayre, PA 18840-7960
Phone (570) 903-2592

Other identifiers 1

IdentifierTypeStateIssuer
0014423480001MedicaidPA

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

State licenses

LicenseStateTypeSpecialty
1875PAMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1982056271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 HEMLOCK RD",
            "address_2": "APT. 103",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188407960",
            "telephone_number": "570-903-2592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 LILLEY AVE",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188409258",
            "telephone_number": "570-888-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONATH",
        "first_name": "LAURA",
        "credential": "ED.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "PA",
            "license": "1875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014423480001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sayre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.