Neil F. O'Donnell, Phd, P.C.

LBN: Neil F. O'Donnell, Phd, P.C.
Neil F. O'Donnell, Phd, P.C. is an health care organization with primary practice located at 2150 S Airport Rd W Suitea, Traverse City MI 49684-4705. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Neil F. O'Donnell, Phd, P.C. can be contacted via phone (231) 929-9511, or through O'Donnell, Ann Clare via phone (231) 929-9511.

Contact Information

Primary practice address
2150 S Airport Rd W Suitea Traverse City MI 49684-4705
Fax: (231) 929-4790
Website:
Authorized official contact:
Name: O'Donnell, Ann Clare PSYD

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301011534 Michigan
Behavioral Health & Social Service Providers / Clinical 103TC0700X 6301011799 Michigan
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 6301011799 Michigan

Profile Details

NPI number 1720384415
LBN Legal business name Neil F. O'Donnell, Phd, P.C.
DBA Doing business as
Authorized official O'Donnell, Ann Clare PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 28th, 2011
Last updated Jan 28th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720384415 NPPES
Michigan Other 68-0-B8-4532-0 BLUE CROSS BLUE SHEILD MICHIGAN
Michigan Other 68-0-B8-1130-0 BLUE CROSS BLUE SHEILD MICHIGAN

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