1902811334 NPI number — DR. DONNA ELY HARKINS PSY.D.

Table of content: DR. DONNA ELY HARKINS PSY.D. (NPI 1902811334)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902811334 NPI number — DR. DONNA ELY HARKINS PSY.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HARKINS
Provider First Name:
DONNA
Provider Middle Name:
ELY
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PSY.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1902811334
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1503 CHARTER OAK AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BEL AIR
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21014-5619
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
410-803-0294
Provider Business Mailing Address Fax Number:
410-803-0294

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
141 N MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BEL AIR
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21014-3576
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-803-0294
Provider Business Practice Location Address Fax Number:
410-803-0294
Provider Enumeration Date:
07/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  03052 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 097421 . This is a "MHN" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 110161 . This is a "COMPSYCH CORPORATION" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 45000506300 . This is a "MD MEDICAL ASSISTANCE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 022992 (MHS) . This is a "VALUE OPTIONS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 345890 . This is a "MAMSI, OPT CHOICE,ALLIANC" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 608252-01 . This is a "BCBS RENDERING NUMBER" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: GP76DE . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 12779 . This is a "DEPT OF REHAB SVCS-BEL AI" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 18524 . This is a "JOHNS HOPKINS HEALTH CARE" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: M0480001 . This is a "BLUE CHOICE FEDERAL" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: PVPB112169 . This is a "APS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 5951011 . This is a "AETNA" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 6148832 . This is a "UNITED BEHAVIORAL HEALTH" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com