Dr Amanda Rose Donnelly, PHD - Counselor in Blaine, MN

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Dr Amanda Rose Donnelly, PHD is a Psychologist - Clinical based in Blaine, Minnesota. Dr Amanda Rose Donnelly is licensed to practice in Minnesota (license number LP6790) and her current practice location is 11855 Ulysses St Ne, Blaine, Minnesota. She can be reached at her office (for appointments etc.) via phone at (763) 762-9241.

NPI number for Dr Amanda Rose Donnelly is 1760079396 and her current mailing address is 10611 Baltimore St Ne Unit 490412, Minneapolis, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760079396.

Contact Information

Dr Amanda Rose Donnelly, PHD
11855 Ulysses St Ne,
Blaine, MN 55434-3947
(763) 762-9241
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameDr Amanda Rose Donnelly
GenderFemale
SpecialityPsychologist - Clinical
Location11855 Ulysses St Ne, Blaine, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1760079396
  • Provider Enumeration Date: 12/29/2020
  • Last Update Date: 12/27/2022

Medical Identifiers

Medical identifiers for Dr Amanda Rose Donnelly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760079396NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional CC00630 (Minnesota)Secondary
103TC0700XPsychologist - Clinical LP6790 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Amanda Rose Donnelly is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Amanda Rose Donnelly, PHD
10611 Baltimore St Ne Unit 490412,
Minneapolis, MN 55449-9930

Ph: (651) 279-3963		Dr Amanda Rose Donnelly, PHD
11855 Ulysses St Ne,
Blaine, MN 55434-3947

Ph: (763) 762-9241

Reviews and Comments


Psychologist in Blaine, MN


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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