DONALD ALLEN DOTY (NPI# 1235145426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235145426 |
Entity Type | Individual |
Full Name | DONALD ALLEN DOTY |
Credential | PH.D. |
Practice Address |
3412 S Illinois Ave Carbondale IL 62903-8362 |
Practice Telephone | 6184574488 |
Practice Fax Number | 6184578844 |
Mailing Telephone | 6184574488 |
Mailing Fax Number | 6184578844 |
Enumeration Date | 2006-07-31 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
IL | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588827034 | Donald Deane Doty Jr. | Specialist | 124 Alvarado Dr Se, Albuquerque, NM 87108-2940 | 2008-07-04 |
Street Address |
3412 S ILLINOIS AVE |
City | CARBONDALE |
State | IL |
Zip Code | 62903-8362 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093740862 | Jeffrey Saunders Kellogg | Psychologist | 3412 S Illinois Ave, Carbondale, IL 62903-8362 | 2006-07-11 |
1255711438 | Karla K. Fehr | Psychologist | 3412 S Illinois Ave, Carbondale, IL 62903-8362 | 2015-06-03 |
1700975612 | Gloria C Debeljuk | Social Worker | 3412 S Illinois Ave, Carbondale, IL 62903-8362 | 2006-10-11 |
1043223613 | Matthew Eric Denis | Psychologist | 3412 S Illinois Ave, Carbondale, IL 62903-8362 | 2006-08-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447625918 | Integrative Spine Care, LLC | Pain Medicine | 364 Lake Indian Hills Circle, Carbondale, IL 62903 | 2015-12-09 |
1811949910 | Devon G Barnes | Nurse Anesthetist, Certified Registered | 35 Albany Road, Suite C, Carbondale, IL 62903 | 2006-05-17 |
1316282130 | Centerstone of Illinois, Inc | Community/Behavioral Health | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2012-12-05 |
1861009128 | Ashley Pruett | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-09-30 |
1477167823 | Zachary Woosley | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-09-03 |
1215553110 | Margaret K Henry | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-06-17 |
1053934489 | Matthew Picchietti | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-05-20 |
1487287835 | Lyndsey Wideman | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-02-13 |
1124659024 | Matthew Leigh | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-01-29 |
1447890199 | Nicholas Foy | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-01-10 |
Find all providers in zip 62903 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306196761 | Jean A. Cunningham | Psychologist | 231 W Main St Ste 1, Carbondale, IL 62901-2948 | 2012-09-13 |
1144479478 | Holly Cormier | Psychologist | 139 Pine Shore Dr, 37, Carbondale, IL 62902-7503 | 2008-09-10 |
1770795882 | Lori Anne Hinsley | Psychologist | Student Health Center, 374 E Grand, Carbondale, IL 62901 | 2007-05-03 |
1417173782 | Debra Lynn Braunling Mcmorrow | Psychologist | 306 W Mill Street, 2nd Floor, Carbondale, IL 62902 | 2007-04-17 |
1376661272 | James S Peterson | Psychologist | 1400 W Main, Suite 16, Carbondale, IL 62901 | 2007-03-27 |
1437247012 | Melinda Luanne Bloos | Psychologist | 3200 Fishback Rd, Milwood Executive Suites, Carbondale, IL 62901-6307 | 2006-10-10 |
1093740862 | Jeffrey Saunders Kellogg | Psychologist | 3412 S Illinois Ave, Carbondale, IL 62903-8362 | 2006-07-11 |
1134748635 | Warren Thomas Bush | Psychologist | 374 E Grand Ave, Carbondale, IL 62901-3962 | 2020-04-14 |
1700412871 | Jose Arroyo | Psychologist | 231 W Main St Ste 1, Carbondale, IL 62901-2948 | 2020-03-20 |
1992210975 | Alec Eshelman | Psychologist | 374 E Grand Ave, Carbondale, IL 62901-3962 | 2017-12-12 |
Find all providers in CARBONDALE |
City | CARBONDALE |
Zip Code | 62903 |
Please comment or provide details below to improve the information on DONALD ALLEN DOTY.
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.