MS. DONNA J PASSAGE PH.D.
NPI 1124573605
Psychologist in Milpitas, CA

Active since August 24, 2016PECOS Enrolled
770 E CALAVERAS BLVD, MILPITAS, CA 95035(408) 945-2900 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 11, 2022, Jul 26, 2019, Jan 25, 2017 and 1 more (4 updates tracked since 2016).

About Ms. Donna J Passage Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. DONNA J PASSAGE PH.D. (NPI 1124573605) is an individual psychologist in Milpitas, California and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1124573605
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMS. DONNA J PASSAGECredential: PH.D.
Location Address770 E CALAVERAS BLVDMilpitas, CA 95035-5491
Mailing Address87 Panoramic WayWalnut Creek, CA 94595-1605 · (562) 708-6101
Sole ProprietorYes
Enumeration DateAugust 24, 2016
Last NPPES UpdateFebruary 11, 20224 updates tracked since enumeration
✔ NPI 1124573605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
770 E CALAVERAS BLVD, Milpitas, CA 95035

Secondary Practice Location 1

Location 11125 W 6th StLos Angeles, CA 90017-1833 · Phone (213) 241-0979 ext. 7303

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Donna J Passage Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Donna Passage reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
770 E CALAVERAS BLVD
MILPITAS, CA 95035
Psychiatry & Neurology (Child & Adolescent Psychiatry)
770 E CALAVERAS BLVD
MILPITAS, CA 95035
Family Medicine
770 E CALAVERAS BLVD
MILPITAS, CA 95035
Internal Medicine
770 E CALAVERAS BLVD
MILPITAS, CA 95035
Internal Medicine
770 E CALAVERAS BLVD
MILPITAS, CA 95035
Pharmacist
770 E CALAVERAS BLVD
MILPITAS, CA 95035
Obstetrics & Gynecology
770 E CALAVERAS BLVD
MILPITAS, CA 95035
Internal Medicine
770 E CALAVERAS BLVD
MILPITAS, CA 95035

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donna Passage's NPI number?

The NPI number for Donna Passage is 1124573605. It was assigned to this individual provider in the NPPES registry on August 24, 2016.

Where is Donna Passage located?

Donna Passage practices at 770 E Calaveras Blvd, Milpitas, CA 95035. The listed phone number is (408) 945-2900.

What is Donna Passage's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Donna Passage enrolled in Medicare?

Yes. Donna Passage is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Donna Passage's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donna Passage reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Donna Passage's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Donna Passage was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.