DR. JEAN MARIE DONNELLY PH.D.
NPI 1578518700
Psychologist - Clinical in New York, NY

Q: What is Jean Donnelly's NPI number?

The NPI number for Jean Donnelly is 1578518700. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Q: What is Jean 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 Jean Donnelly was last updated on December 5, 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.

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment

535 W 110TH ST, SUITE 1J, NEW YORK, NY 10025(212) 579-9288(212) 579-9288 Get Directions Write a Review

NPPES record last updated: December 5, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jean Marie Donnelly Ph.d. NPPES

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

DR. JEAN MARIE DONNELLY PH.D. (NPI 1578518700) is an individual clinical provider in New York, New York, licensed in New York (013444-1) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1578518700

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JEAN MARIE DONNELLYCredential: PH.D.

Location Address535 W 110TH ST, SUITE 1JNew York, NY 10025-2086

Mailing Address535 West 110th Street, Suite 1jNew York, NY 10025-2066 · (212) 579-9288 · Fax (212) 579-9288

Phone(212) 579-9288

Fax(212) 579-9288

Sole ProprietorYes

Medical School CMSOtherGraduated 1993

Enumeration DateMay 24, 2006

Last NPPES UpdateDecember 5, 2018

✔ NPI 1578518700 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 NY · 013444-1

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.

535 W 110TH ST, New York, NY 10025

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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

Dr. Jean Marie Donnelly Ph.d. 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 ID244405561

PECOS Enrollment IDI20111214000496

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10025 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

$198.19 typical visit price

range $65.69 – $198.19

Typical copayment $49.54 (range $16.42 – $49.54)

Most-billed visit code 99205

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

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.

Other Providers at the Same Location NPPES 9

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

DR. BERTIE MICHAEL BREGMAN M.D.

Family Medicine

535 W 110TH ST
NEW YORK, NY 10025

New York County (646) 764-0025

DR. MA SANDAR M.D.

Internal Medicine

535 W 110TH ST, SUITE 1D
NEW YORK, NY 10025

New York County (212) 864-8888

SHIRIN BRAUN PA-C

Physician Assistant

535 W 110TH ST, UNIT 1E
NEW YORK, NY 10025

New York County (212) 280-4740

ERASMO C STURLA MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

535 W 110TH ST
NEW YORK, NY 10025

New York County (212) 222-0600

WEST SIDE MEDICAL SERVICES, PC

Internal Medicine (Hematology & Oncology)

535 W 110TH ST, SUITE 1D
NEW YORK, NY 10025

New York County (212) 864-8888

DR. KAREN LATIMER MD

Family Medicine (Adult Medicine)

535 W 110TH ST
NEW YORK, NY 10025

New York County (212) 280-4790

DIANA SEUNG-YON CHOI OT

Occupational Therapist

535 W 110TH ST, SUITE 1D
NEW YORK, NY 10025

New York County (212) 864-8888

LINUS YOE, M.D., P.C.

Internal Medicine

535 W 110TH ST, SUITE 1D
NEW YORK, NY 10025

New York County (212) 864-8888

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 Jean Donnelly's NPI number?

The NPI number for Jean Donnelly is 1578518700. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Jean Donnelly located?

Jean Donnelly practices at 535 W 110th St Suite 1J, New York, NY 10025. The listed phone number is (212) 579-9288.

What is Jean Donnelly's specialty?

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

Is Jean Donnelly enrolled in Medicare?

Yes. Jean Donnelly 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 Jean Donnelly was last updated on December 5, 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.