Active NPIIndividual providerSole proprietor

Kevin J Donnelly, PH D

Psychologist, Clinical in Jamaica Plain, Massachusetts

NPI Number1316003551
Practice location
1153 Centre St, Jamaica Plain, MA 02130-3446
Fax
617-983-7455
Last updated
July 8, 2007

Kevin Joseph Donnelly is a Psychologist, Clinical based in Jamaica Plain, MA. Kevin Joseph Donnelly practices in Jamaica Plain, MA and has the professional credentials of PH D. The NPI Number for Kevin Joseph Donnelly is 1316003551 and holds a License No. 1985 (MA). The current practice location address for Kevin Joseph Donnelly is 1153 Centre St, Jamaica Plain, MA 02130-3446 and can be reached out via phone at 617-983-7924 and via fax at 617-983-7455.

Provider Profile Details

NPI Number
1316003551
Provider Name
Kevin Joseph Donnelly
Credential
PH D
Provider Entity Type
Individual
Gender
Male
Address
1153 Centre St, Jamaica Plain, MA 02130-3446
Phone Number
617-983-7924
Fax Number
617-983-7455
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
December 30, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1153 Centre St
Jamaica Plain, MA 02130-3446
Zip
02130-3446
Phone Number
617-983-7924
Fax Number
617-983-7455
Jamaica Plain, MA 02130Get directions →

Provider Business Mailing Address Details

Address
33 Stratford St
West Roxbury, MA 02132-2008
City
West Roxbury
State
MA
Zip
02132-2008
Phone Number
617-982-7924
Fax Number
617-983-7455

License Information

License Number
1985
License State
MA
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kevin J Donnelly, PH D?

The NPI number of Kevin J Donnelly, PH D is 1316003551. It was assigned on December 30, 2006 and is currently active in the NPPES registry.

What is the specialty of Kevin J Donnelly, PH D?

Kevin J Donnelly, PH D is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 1985.

Where does Kevin J Donnelly, PH D practice?

The practice location is 1153 Centre St, Jamaica Plain, MA 02130-3446. The office can be reached at 617-983-7924 (phone) or 617-983-7455 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316003551 directly on the NPPES registry website.

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