DR. ELIZABETH DANEKER O'DONNELL PH.D.
NPI 1609114933
Psychologist - Clinical in Riverside, CT

Q: What is Elizabeth O'donnell's NPI number?

The NPI number for Elizabeth O'donnell is 1609114933. It was assigned to this individual provider in the NPPES registry on January 22, 2013.

Q: What is Elizabeth O'donnell's specialty?

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

Q: Is Elizabeth O'donnell enrolled in Medicare?

No. Elizabeth O'donnell has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since January 22, 2013Opted out of Medicare · through Jul 1, 2027

153 LOCKWOOD RD, RIVERSIDE, CT 06878(203) 637-0537 Get Directions Write a Review

NPPES record last updated: August 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Elizabeth Daneker O'donnell Ph.d. NPPES

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

DR. ELIZABETH DANEKER O'DONNELL PH.D. (NPI 1609114933) is an individual clinical provider in Riverside, Connecticut, licensed in New York (012861) and active in the NPI registry since January 2013. She has opted out of Medicare through July 1, 2027.

NPPES Registry Identity

NPI1609114933

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. ELIZABETH DANEKER O'DONNELLCredential: PH.D.

Location Address153 LOCKWOOD RDRiverside, CT 06878-1920

Mailing Address153 Lockwood RdRiverside, CT 06878-1920 · (203) 637-0537

Phone(203) 637-0537

Sole ProprietorYes

Enumeration DateJanuary 22, 2013

Last NPPES UpdateAugust 11, 2021

NPPES CertifiedAugust 11, 2021

✔ NPI 1609114933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in NY · 012861✔ Licensed in CT · 003189

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.

153 LOCKWOOD RD, Riverside, CT 06878

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Other Identifiers 2

Medicaid01792772NY

OtherV91971NY · Medicare Provider #

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 Daneker O'donnell 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 July 1, 2021 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2021

Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 O'donnell's NPI number?

The NPI number for Elizabeth O'donnell is 1609114933. It was assigned to this individual provider in the NPPES registry on January 22, 2013.

Where is Elizabeth O'donnell located?

Elizabeth O'donnell practices at 153 Lockwood Rd, Riverside, CT 06878. The listed phone number is (203) 637-0537.

What is Elizabeth O'donnell's specialty?

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

Is Elizabeth O'donnell enrolled in Medicare?

No. Elizabeth O'donnell has opted out of Medicare through July 1, 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 O'donnell was last updated on August 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.