KEVIN JOSEPH DONNELLY PH. D.
NPI 1316003551
Psychologist - Clinical in Jamaica Plain, MA

Q: What is Kevin Donnelly's NPI number?

The NPI number for Kevin Donnelly is 1316003551. It was assigned to this individual provider in the NPPES registry on December 30, 2006.

Q: What is Kevin Donnelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kevin Donnelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since December 30, 2006

1153 CENTRE ST, JAMAICA PLAIN, MA 02130(617) 983-7924(617) 983-7455 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kevin Joseph Donnelly Ph. D. NPPES

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

KEVIN JOSEPH DONNELLY PH. D. (NPI 1316003551) is an individual clinical provider in Jamaica Plain, Massachusetts, licensed in Massachusetts (1985) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1316003551

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameKEVIN JOSEPH DONNELLYCredential: PH. D.

Location Address1153 CENTRE STJamaica Plain, MA 02130-3446

Mailing Address33 Stratford StWest Roxbury, MA 02132-2008 · (617) 982-7924 · Fax (617) 983-7455

Phone(617) 983-7924

Fax(617) 983-7455

Sole ProprietorYes

Enumeration DateDecember 30, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1316003551 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 MA · 1985

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.

1153 CENTRE ST, Jamaica Plain, MA 02130

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Other Identifiers 1

Medicare ID-Type UnspecifiedW02154MA

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.

MRS. MARY RAY MAZAKA LICSW

Social Worker (Clinical)

1153 CENTRE ST, 2ND FLOOR
BOSTON, MA 02130

Suffolk County (617) 983-7233

MRS. ELAINE ANN CHARBONNIER NP

Nurse Practitioner (Adult Health)

1153 CENTRE ST, FAULKNER HOSPITAL , DEPT OF PREADMISSION TESTING
BOSTON, MA 02130

Suffolk County (617) 933-4600

HYEJUNG KIM RPH

Pharmacist

1153 CENTRE ST
BOSTON, MA 02130

Suffolk County (851) 404-5397

FAINA NAKHLIS MD

Surgery (Surgical Oncology)

1153 CENTRE ST, FAULKNER BREAST CENTRE
BOSTON, MA 02130

Suffolk County (617) 983-7777

CATHERINE COQUINCO LLAMAS PA

Physician Assistant

1153 CENTRE ST
JAMAICA PLAIN, MA 02130

Suffolk County (617) 983-7132

KRISTIN MARIE STELTER LICSW, MFA

Social Worker (Clinical)

1153 CENTRE ST
BOSTON, MA 02130

Suffolk County (617) 983-4470

DOLORES MARIE SULA PA-C

Physician Assistant

1153 CENTRE ST
BOSTON, MA 02130

Suffolk County (617) 983-7000

DR. STACI R EISENBERG MD

Internal Medicine

1153 CENTRE ST
JAMAICA PLAIN, MA 02130

Suffolk County (617) 983-7025

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 Kevin Donnelly's NPI number?

The NPI number for Kevin Donnelly is 1316003551. It was assigned to this individual provider in the NPPES registry on December 30, 2006.

Where is Kevin Donnelly located?

Kevin Donnelly practices at 1153 Centre St, Jamaica Plain, MA 02130. The listed phone number is (617) 983-7924.

What is Kevin Donnelly's specialty?

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

When was this NPI record last updated?

The NPPES record for Kevin Donnelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.