Mr Charles D Donaldson, LLP, LPC is a
Psychologist - Rehabilitation based in Holland, Michigan. Mr Charles D Donaldson is licensed to practice in Michigan (license number 6301009941) and his current practice location is
603 E 16th St, Holland, Michigan. He can be reached at his office (for appointments etc.) via phone at
(616) 355-3000.
NPI number for Mr Charles D Donaldson is 1104035385 and his current mailing address is 603 E 16th St, Holland, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104035385.
Healthcare Provider's Profile
| Full Name | Mr Charles D Donaldson |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Rehabilitation |
|---|
| Location | 603 E 16th St, Holland, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1104035385
- Provider Enumeration Date: 05/22/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Charles D Donaldson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104035385 | NPI | - | NPPES |
| 0895544 | Other | MI | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 6401003770 (Michigan) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 6401003770 (Michigan) | Primary |
| 101YM0800X | Counselor - Mental Health | 6401003770 (Michigan) | Primary |
| 101YP2500X | Counselor - Professional | 6401003770 (Michigan) | Primary |
| 103T00000X | Psychologist | 6301009941 (Michigan) | Primary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | 6301009941 (Michigan) | Primary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | 6301009941 (Michigan) | Primary |
| 103TC0700X | Psychologist - Clinical | 6301009941 (Michigan) | Primary |
| 103TC1900X | Psychologist - Counseling | 6301009941 (Michigan) | Primary |
| 103TF0000X | Psychologist - Family | 6301009941 (Michigan) | Primary |
| 103TF0200X | Psychologist - Forensic | 6301009941 (Michigan) | Primary |
| 103TP2701X | Psychologist - Group Psychotherapy | 6301009941 (Michigan) | Primary |
| 103TR0400X | Psychologist - Rehabilitation | 6301009941 (Michigan) | 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. Mr Charles D Donaldson 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 Address | Practice Location Address |
|---|
Mr Charles D Donaldson, LLP, LPC
603 E 16th St,
Holland, MI 49423-3794
Ph: (616) 355-3000 | Mr Charles D Donaldson, LLP, LPC
603 E 16th St,
Holland, MI 49423-3794
Ph: (616) 355-3000 |
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