ALYSE C DONOVAN PSYD
NPI 1174008973
Psychologist - Clinical in Hartford, CT

Active since September 27, 2018PECOS EnrolledAccepts Medicare Assignment
86.41/100
CMS Quality Rating
200 RETREAT AVE, HARTFORD, CT 06106(860) 545-7680(860) 545-7510 Get Directions Write a Review

NPPES record last updated: October 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 18, 2018, Sep 27, 2018 (2 updates tracked since 2018).

About Alyse C Donovan Psyd NPPES

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

ALYSE C DONOVAN PSYD (NPI 1174008973) is an individual clinical provider in Hartford, Connecticut, licensed in Connecticut (3789) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1174008973
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameALYSE C DONOVANCredential: PSYD
Location Address200 RETREAT AVEHartford, CT 06106-3309
Mailing Address200 Retreat Ave, Fuller Bulding, First FloorHartford, CT 06106-3309 · (860) 545-7680 · Fax (860) 545-7510
Fax(860) 545-7510
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 27, 2018
Last NPPES UpdateOctober 18, 20182 updates tracked since enumeration
NPI 1174008973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CT · 3789
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
200 RETREAT AVE, Hartford, CT 06106

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alyse C Donovan Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860746013
PECOS Enrollment IDI20181107000970
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.99
Promoting Interoperability100
Improvement Activities40
Cost43.03

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.

Nurse Practitioner (Psychiatric/Mental Health)
200 RETREAT AVE
HARTFORD, CT 06106
Speech-Language Pathologist
200 RETREAT AVE
HARTFORD, CT 06106
Nurse Practitioner (Psychiatric/Mental Health)
200 RETREAT AVE
HARTFORD, CT 06106
Marriage & Family Therapist
200 RETREAT AVE
HARTFORD, CT 06106
Clinical Neuropsychologist
200 RETREAT AVE, HARTFORD HOSPITAL PSYCHIATRY DEPARTMENT
HARTFORD, CT 06106
Psychiatry & Neurology (Psychiatry)
200 RETREAT AVE, HARTFORD HOSPITAL PSYCHIATRY DEPT
HARTFORD, CT 06106
Social Worker
200 RETREAT AVE
HARTFORD, CT 06106
Psychiatry & Neurology (Psychiatry)
200 RETREAT AVE
HARTFORD, CT 06106

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 Alyse Donovan's NPI number?

The NPI number for Alyse Donovan is 1174008973. It was assigned to this individual provider in the NPPES registry on September 27, 2018.

Where is Alyse Donovan located?

Alyse Donovan practices at 200 Retreat Ave, Hartford, CT 06106. The listed phone number is (860) 545-7680.

What is Alyse Donovan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Alyse Donovan enrolled in Medicare?

Yes. Alyse Donovan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Alyse Donovan was last updated on October 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.