DR. ELIZABETH A. DONOVAN PH.D.
NPI 1255577201
Psychologist in New York, NY

Active since December 22, 2008Opted out of Medicare · through Mar 3, 2027
124 E 84TH ST APT 1B, NEW YORK, NY 10028(917) 475-6726 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 18, 2022, Feb 25, 2019 (2 updates tracked since 2019).

About Dr. Elizabeth A. Donovan Ph.d. NPPES

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

DR. ELIZABETH A. DONOVAN PH.D. (NPI 1255577201) is an individual psychologist in New York, New York, licensed in New York (021477) and active in the NPI registry since December 2008. She has opted out of Medicare through March 3, 2027.

NPPES Registry Identity

NPI1255577201
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. ELIZABETH A. DONOVANCredential: PH.D.
Location Address124 E 84TH ST APT 1BNew York, NY 10028-0917
Mailing Address124 E 84th St Apt 1bNew York, NY 10028-0917 · (917) 475-6726
Sole ProprietorYes
Enumeration DateDecember 22, 2008
Last NPPES UpdateOctober 18, 20222 updates tracked since enumeration
NPPES CertifiedOctober 18, 2022
NPI 1255577201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · 021477
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.
Also ListedPsychologist · SchoolTaxonomy 103TS0200X · License 872574 (NY)
124 E 84TH ST APT 1B, New York, NY 10028

Other Names 1

Former Name (1)Ms. Elizabeth A. Omar M.s.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Elizabeth A. Donovan Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 3, 2025 through March 3, 2027.

Opt-Out Effective DateMarch 3, 2025
Opt-Out In Effect ThroughMarch 3, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

Psychiatry & Neurology (Psychiatry)
124 E 84TH ST APT 1B
NEW YORK, NY 10028
Social Worker (Clinical)
124 E 84TH ST APT 1B
NEW YORK, NY 10028
Psychologist
124 E 84TH ST APT 1B
NEW YORK, NY 10028

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 Elizabeth Donovan's NPI number?

The NPI number for Elizabeth Donovan is 1255577201. It was assigned to this individual provider in the NPPES registry on December 22, 2008. The provider is also known as Ms. Elizabeth A. Omar M.S..

Where is Elizabeth Donovan located?

Elizabeth Donovan practices at 124 E 84th St Apt 1B, New York, NY 10028. The listed phone number is (917) 475-6726.

What is Elizabeth Donovan's specialty?

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

Is Elizabeth Donovan enrolled in Medicare?

No. Elizabeth Donovan has opted out of Medicare through March 3, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Elizabeth Donovan was last updated on October 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.