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DR. AMANDA ROSE DONNELLY PHD
NPI 1760079396
Psychologist - Clinical in Blaine, MN

Active since December 29, 2020
11855 ULYSSES ST NE, BLAINE, MN 55434(763) 762-9241 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 27, 2022, Dec 29, 2020 (2 updates tracked since 2020).

About Dr. Amanda Rose Donnelly Phd NPPES

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

DR. AMANDA ROSE DONNELLY PHD (NPI 1760079396) is an individual clinical provider in Blaine, Minnesota, licensed in Minnesota (LP6790) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1760079396
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. AMANDA ROSE DONNELLYCredential: PHD
Location Address11855 ULYSSES ST NEBlaine, MN 55434-3947
Mailing Address10611 Baltimore St Ne Unit 490412Minneapolis, MN 55449-9930 · (651) 279-3963
Phone(763) 762-9241
Sole ProprietorYes
Enumeration DateDecember 29, 2020
Last NPPES UpdateDecember 27, 20222 updates tracked since enumeration
NPPES CertifiedDecember 27, 2022
✔ NPI 1760079396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MN · LP6790
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.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License CC00630 (MN)
11855 ULYSSES ST NE, Blaine, MN 55434
Open in Google Maps ↗

Other Providers at the Same Location NPPES 16

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

MINNESOTA INTERVENTIONAL PAIN ASSOCIATES
Clinic/Center (Pain)
11855 ULYSSES ST NE, SUITE 240
BLAINE, MN 55434
Anoka County (651) 430-3800
RACHEL HILDEBRAND
Pediatrics
11855 ULYSSES ST NE
BLAINE, MN 55434
Anoka County (763) 581-0555
ANNA BOYD PA-C
Physician Assistant (Medical)
11855 ULYSSES ST NE
BLAINE, MN 55434
Anoka County (763) 581-0555
ANN KATHRYN SCHENDEL LMFT
Marriage & Family Therapist
11855 ULYSSES ST NE, 250
BLAINE, MN 55434
Anoka County (763) 754-0903
TARA L. LEWIS PT
Physical Therapist
11855 ULYSSES ST NE
BLAINE, MN 55434
Anoka County (763) 767-3140
DAVID MOGA
Physical Therapist
11855 ULYSSES ST NE
BLAINE, MN 55434
Anoka County (763) 634-7601
MS. CARLY L. MATTSON PT
Physical Therapist
11855 ULYSSES ST NE, STE 20
BLAINE, MN 55434
Anoka County (763) 767-3140
LORI JEAN TREB
Dietitian, Registered
11855 ULYSSES ST NE
BLAINE, MN 55434
Anoka County (763) 785-4200

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 Amanda Donnelly's NPI number?

The NPI number for Amanda Donnelly is 1760079396. It was assigned to this individual provider in the NPPES registry on December 29, 2020.

Where is Amanda Donnelly located?

Amanda Donnelly practices at 11855 Ulysses St NE, Blaine, MN 55434. The listed phone number is (763) 762-9241.

What is Amanda 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 Amanda Donnelly was last updated on December 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.