DR. MARTHA ELIZABETH O'DONNELL (NPI# 1609114933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609114933 |
| Entity Type | Individual |
| Full Name | DR. MARTHA ELIZABETH O'DONNELL |
| Credential | PH.D. |
| Practice Address |
153 Lockwood Rd Riverside CT 06878-1920 |
| Practice Telephone | 2036370537 |
| Mailing Telephone | 2036370537 |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2013-01-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
003189 | CT | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
012861 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01792772 | 05 | |
| NY | MEDICARE PROVIDER # | V91971 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689182768 | Martha O'donnell | Counselor | 7891 La Tijera Blvd, Los Angeles, CA 90045 | 2018-01-11 |
| Street Address |
153 LOCKWOOD RD |
| City | RIVERSIDE |
| State | CT |
| Zip Code | 06878-1920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164933750 | Stephanie Jane Oertel | Physician Assistant | 1285 E Putnam Ave, Riverside, CT 06878 | 2017-10-23 |
| 1669757050 | Bozena Valencic | Pharmacist | 1333 East Putnam Avenue, Riverside, CT 06878 | 2011-10-17 |
| 1245520485 | Sonya N Joseph | Psychiatry & Neurology | 7 Meyer Place, River Side, CT 06878 | 2011-04-08 |
| 1487964037 | Alex E Lash | Special Hospital | 23 Westview Place, Riverside, CT 06878 | 2010-10-18 |
| 1578780516 | Angelo Milazzo | Dentist | 1212 East Putnam Ave, Greenwich, CT 06878 | 2007-04-19 |
| 1720168347 | Neil N Boside | Internal Medicine | 1200 East Putnam Ave, 2nd Floor, Riverside, CT 06878 | 2006-10-17 |
| 1447534094 | Elam H. Joseph | Anesthesiology | 7 Meyer Place, Riverside, CT 06878 | 2011-09-30 |
| 1508186651 | Prabaakar Reddy | Internal Medicine | 1200 East Putnam Ave, Greewich Walk In Medical Ctr, Riverside, CT 06878 | 2010-06-10 |
| 1295275808 | Eastern Comprehensive Medical Services | Specialist | 106 Sheephill Rd, Riverside, CT 06878-1120 | 2017-03-01 |
| 1871961649 | Diane Chiappetta Fox | Speech-Language Pathologist | 40 Bonwit Rd, Riverside, CT 06878-1215 | 2015-09-09 |
| Find all providers in zip 06878 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821601451 | Joshua Craig | Psychologist | 1660 Chicago Ave Ste M17, Riverside, CA 92507-2033 | 2020-08-24 |
| 1487205506 | Inland Psychiatric Medical Group, Inc. | Psychologist | 4049 Brockton Ave, Riverside, CA 92501-3440 | 2019-09-20 |
| 1427606813 | New England Center for Pediatric Psychology | Psychologist | 109 Worcester Ave, Riverside, RI 02915-3409 | 2019-08-28 |
| 1881188845 | Theodore Earl Swigart Iv | Psychologist | 5499 Grassy Trail Dr, Riverside, CA 92504-1213 | 2018-06-21 |
| 1053836445 | James Charles Husen | Psychologist | 3068 Brockton Ave, Riverside, CA 92501-2325 | 2017-08-07 |
| 1447623657 | Adrian Michelle Camargo Rubly | Psychologist | 4344 Latham St Ste 120, Riverside, CA 92501-1773 | 2015-11-10 |
| 1427424464 | Lindsay Lauren Wray | Psychologist | 5005 Canyon Crest Dr, Riverside, CA 92507-7721 | 2015-08-13 |
| 1225451685 | David Jon Eagle | Psychologist | 6719 Coral Leaf Ln, Riverside, CA 92506-6213 | 2014-01-21 |
| 1700181385 | Roger Sheldon Tilton | Psychologist | 7177 Brockton Ave Ste 227, Riverside, CA 92506-2633 | 2011-01-13 |
| 1548565237 | E Abdulmumin | Psychologist | 2060 University Ave Ste 102, Riverside, CA 92507-5210 | 2011-01-11 |
| Find all providers in RIVERSIDE | ||||
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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.