DR. ANN CLARE O'DONNELL (NPI# 1760521314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760521314 |
| Entity Type | Individual |
| Full Name | DR. ANN CLARE O'DONNELL |
| Credential | PSY.D. |
| Practice Address |
2150 S Airport Rd W Suite A Traverse City MI 49684-4705 |
| Practice Telephone | 2319299511 |
| Practice Fax Number | 2319294790 |
| Mailing Telephone | 2319299511 |
| Mailing Fax Number | 2319294790 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2011-01-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301011799 | MI | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
6301011799 | MI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | CAQH | 11413109 | 01 |
| MI | VALUE OPTIONS | 467872 | 01 |
| MI | BLUE CROSS | 68-0-B8-1130-0 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023067204 | Ann M. O'donnell | Obstetrics & Gynecology | 1415 Saint Francis Ave, Shakopee, MN 55379-3374 | 2006-05-08 |
| Street Address |
2150 S AIRPORT RD W SUITE A |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-4705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720384415 | Neil F. O'donnell, Phd, P.C. | Psychologist | 2150 S Airport Rd W, Suitea, Traverse City, MI 49684-4705 | 2011-01-28 |
| 1548300601 | Neil Frederick O'donnell | Psychologist | 2150 S Airport Rd W, Suite A, Traverse City, MI 49684-4705 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1417346966 | East Bay Psychology, PC | Psychologist | 3926 Village Circle Dr., Traverse City, MI 49686 | 2015-01-21 |
| 1518361567 | Paul D Winkler Behavioral Health Services Plc | Psychologist | 2240 S Airport Rd W, Suite C, Traverse City, MI 49684-4714 | 2014-10-20 |
| 1205102241 | Sandra E Helmick | Psychologist | 105 Hall St Unit A, Traverse City, MI 49684-2288 | 2012-03-23 |
| 1306071071 | Management & Behavior Consultants, P. C. | Psychologist | 955 E 8th St Ste 2, Traverse City, MI 49686-2785 | 2009-05-24 |
| 1922130467 | Roxanne Kay Fall | Psychologist | 955 E. 8th Street, Suite 2, Traverse City, MI 49686-2785 | 2007-03-11 |
| 1851435721 | Melissa Ann Bullard | Psychologist | 697 Hannah Ave Ste D, Traverse City, MI 49686-3399 | 2007-02-16 |
| 1477604601 | Wayne Vern Simmons | Psychologist | 2226 S Airport Rd W, Ste. A, Traverse City, MI 49684-4706 | 2007-01-15 |
| 1033268149 | Terence Lee Bradley | Psychologist | 3926 Village Circle Dr, Traverse City, MI 49686-6305 | 2007-01-09 |
| 1245307370 | Jennifer J. Sowle | Psychologist | 236 1/2 E Front St, Traverse City, MI 49684-2526 | 2006-11-30 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
Please comment or provide details below to improve the information on DR. ANN CLARE O'DONNELL.
| 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.