DR. KELLY C DONOHUE (NPI# 1992212716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992212716 |
| Entity Type | Individual |
| Full Name | DR. KELLY C DONOHUE |
| Credential | PHD |
| Practice Address |
2187 N Vickey St Flagstaff AZ 86004-6121 |
| Practice Telephone | 9285271899 |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2018-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
4897 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083141238 | Kelly Lynn Donohue | Student in an Organized Health Care Education/Training Program | 601 Elmwood Avenue Department of Neurology Box 673, Rochester, NY 14642-0001 | 2017-05-18 |
| 1538468699 | Kelly Marie Donohue | Dentist | 323 W Maple St, Carson City, MI 48811-9677 | 2011-03-15 |
| Street Address |
2187 N VICKEY ST |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86004-6121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770573743 | Daniel Cady | Psychologist | 2187 N Vickey St, Flagstaff, AZ 86004-6106 | 2005-10-21 |
| 1194289124 | Bethel J Mccoy | Counselor | 2187 N Vickey St, Flagstaff, AZ 86004-6121 | 2019-01-23 |
| 1689148314 | Todd Hooe | Behavioral Analyst | 2187 N Vickey St, Flagstaff, AZ 86004-6121 | 2019-01-16 |
| 1366913923 | Janice Enloe | Nurse Practitioner | 2187 N Vickey St, Flagstaff, AZ 86004-6121 | 2018-12-07 |
| 1962910760 | Phillip Casey Dubravcic | Nurse Practitioner | 2187 N Vickey St, Flagstaff, AZ 86004-6121 | 2018-01-15 |
| 1336658731 | Walt Hutton IIi | Nurse Practitioner | 2187 N Vickey St, Flagstaff, AZ 86004-6121 | 2017-09-28 |
| 1073035531 | Ann Elizabeth Iverson-dawson | Counselor | 2187 N Vickey St, Flagstaff, AZ 86004-6121 | 2017-07-16 |
| 1548621923 | Cody Bayles | Counselor | 2187 N Vickey St, Flagstaff, AZ 86004-6121 | 2016-03-14 |
| 1386037729 | Adam Kimball Geno | Nurse Practitioner | 2187 N Vickey St, Flagstaff, AZ 86004-6121 | 2015-03-10 |
| 1700215191 | Kerry Chapley | Nurse Practitioner | 2187 N Vickey St, Flagstaff, AZ 86004-6121 | 2013-11-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387805 | Michael Joseph Oxtoby | Counselor | 2625 N. King St., Flagstaff, AZ 86004 | 2020-05-08 |
| 1083264501 | Dazhoni Elizabeth Scott | Counselor | 1500 E. Cedar Avenue #26, 2110 N. East St Apt C, Flagstaff, AZ 86004 | 2019-09-17 |
| 1760948046 | Emily Bauerle | Social Worker | 3009 N West St, Flagstaff, AZ 86004 | 2019-02-12 |
| 1992295745 | Kaibab Behavioral Services, Pllc | Behavioral Analyst | 2323 E Greenlaw Lane, Suite 12a, Flagstaff, AZ 86004 | 2018-05-17 |
| 1083115364 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 8800 Marys Drive, Flagstaff, AZ 86004 | 2018-02-22 |
| 1710391081 | Janet Coleman | Hearing Instrument Specialist | 1851 E Butler Avenue, Flagstaff, AZ 86004 | 2014-06-16 |
| 1568703163 | Mercy Timoh | Pharmacist | 4255 E. Soliere Ave., Flagstaff, AZ 86004 | 2013-03-06 |
| 1053617217 | Scott Nichols | Veterinarian | 6122 Abineau Canyon Drive, Flagstaff, AZ 86004 | 2011-02-07 |
| 1366745218 | Karoline S. Mariano | Registered Nurse | 3480 East Route 66, Flagstaff, AZ 86004 | 2010-12-15 |
| 1912209719 | Payal Parekh | Pharmacist | 1500 E Cedar, Flagstaff, AZ 86004 | 2010-11-30 |
| Find all providers in zip 86004 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427608892 | David G Dubner | Psychologist | 709 N Humphreys St, Flagstaff, AZ 86001-3025 | 2019-09-17 |
| 1720597040 | Lore M Dickey | Psychologist | 2501 N 4th St Ste 18d, Flagstaff, AZ 86004-3701 | 2017-09-29 |
| 1801062286 | Laura Lyn | Psychologist | 123 S San Francisco St, Suite 12, Flagstaff, AZ 86001-5796 | 2008-05-05 |
| 1821036344 | Linnea Suzanne Lei | Psychologist | 416 N Kendrick St, Suite 4, Flagstaff, AZ 86001-1598 | 2006-06-04 |
| 1154324473 | James Andrew Hogg | Psychologist | 408 N Kendrick St, Ste 4, Flagstaff, AZ 86001-1582 | 2005-05-31 |
| 1124531173 | Lauren Timmermans | Psychologist | 519 N Leroux St, Flagstaff, AZ 86001-3221 | 2017-11-13 |
| 1164974721 | Sherri Ruggiero | Psychologist | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2016-10-31 |
| 1609282268 | Christopher Johann Margeson | Psychologist | 408 N Kendrick St Ste 4, Flagstaff, AZ 86001-1582 | 2014-07-03 |
| 1639226160 | Steven C Finger | Psychologist | 408 N Kendrick St, Suite 3, Flagstaff, AZ 86001-1582 | 2007-01-05 |
| 1780627935 | Carol Ann Collins | Psychologist | 519 N Leroux St, Flagstaff, AZ 86001-3221 | 2006-06-14 |
| Find all providers in FLAGSTAFF | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.