DR. KATHARINE ELIZABETH DONNELLY PH.D.
NPI 1710313770
Psychologist - Clinical in Great Neck, NY

Active since September 23, 2013Opted out of Medicare · through May 20, 2027
935 NORTHERN BLVD, SUITE #102, GREAT NECK, NY 11021(516) 487-7116 Get Directions Write a Review

NPPES record last updated: September 23, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Katharine Elizabeth Donnelly Ph.d. NPPES

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

DR. KATHARINE ELIZABETH DONNELLY PH.D. (NPI 1710313770) is an individual clinical provider in Great Neck, New York, licensed in New York (020279) and active in the NPI registry since September 2013. She has opted out of Medicare through May 20, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1710313770
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KATHARINE ELIZABETH DONNELLYCredential: PH.D.
Location Address935 NORTHERN BLVD, SUITE #102Great Neck, NY 11021-5316
Mailing Address935 Northern Blvd, Suite #102Great Neck, NY 11021-5316 · (516) 487-7116
Sole ProprietorYes
Enumeration DateSeptember 23, 2013
NPI 1710313770 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 · 020279
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.
935 NORTHERN BLVD, Great Neck, NY 11021

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. Katharine Elizabeth Donnelly 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 May 20, 2019 through May 20, 2027.

Opt-Out Effective DateMay 20, 2019
Opt-Out In Effect ThroughMay 20, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11021 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 20

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

Ophthalmology
935 NORTHERN BLVD, SUITE 204
GREAT NECK, NY 11021
Psychologist (Clinical)
935 NORTHERN BLVD, SUITE 102
GREAT NECK, NY 11021
Physician Assistant (Medical)
935 NORTHERN BLVD
GREAT NECK, NY 11021
Radiology (Diagnostic Radiology)
935 NORTHERN BLVD, SUITE 200
GREAT NECK, NY 11021
Obstetrics & Gynecology
935 NORTHERN BLVD, SUITE 105
GREAT NECK, NY 11021
Physician Assistant
935 NORTHERN BLVD, SUITE 300
GREAT NECK, NY 11021
Psychologist (Clinical)
935 NORTHERN BLVD, SUITE 102
GREAT NECK, NY 11021
Clinic/Center (Ambulatory Surgical)
935 NORTHERN BLVD, SUITE 302
GREAT NECK, NY 11021

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 Katharine Donnelly's NPI number?

The NPI number for Katharine Donnelly is 1710313770. It was assigned to this individual provider in the NPPES registry on September 23, 2013.

Where is Katharine Donnelly located?

Katharine Donnelly practices at 935 Northern Blvd Suite #102, Great Neck, NY 11021. The listed phone number is (516) 487-7116.

What is Katharine Donnelly's specialty?

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

Is Katharine Donnelly enrolled in Medicare?

No. Katharine Donnelly has opted out of Medicare through May 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Katharine Donnelly was last updated on September 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.