Patricia A. Donoghue, PH.D.
NPI 1144331612ActiveIndividual· Psychologist, Clinical Child & Adolescent· Glenmoore, PA
Psychologist, Clinical Child & Adolescent (PH.D.) with Villa St John Vianney, practicing in Glenmoore, Pennsylvania. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1144331612 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Aug 31, 2006 |
| Last updated in NPPES | Jan 17, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Child & Adolescent Primary | 103TC2200X | 009110L | PA |
| Psychologist, Adult Development & Aging | 103TA0700X | 009110L | PA |
| Psychologist, Clinical | 103TC0700X | 009110L | PA |
| Psychologist, Intellectual & Developmental Disabilities | 103TM1800X | 009110L | PA |
| Psychologist | 103T00000X | 009110L | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (PA) |
|---|
Education and affiliations
| Graduation year | 1995 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Villa St John VianneyDowningtown, PA · 3 clinicians