DR. AMANDA ROSE DONNELLY (PHD) – Clinical Psychologist, NPI 1760079396

DR. AMANDA ROSE DONNELLY (PHD) is a healthcare provider. based in Blaine, Minnesota. specializing in Clinical Psychologist. They hold the professional credentials PHD. They hold a License No. CC00630 (MN). The NPI Number for DR. AMANDA ROSE DONNELLY (PHD) is 1760079396

Main info

Female
Sole Proprietor
Name
DR. AMANDA ROSE DONNELLY (PHD)
NPI
1760079396
Phone
(763) 762-9241
Address
11855 ULYSSES ST NE
Enumeration Date
29 December 2020
Last Update Date
27 December 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:5State licenses:2Digital endpointsOther names

Provider Addresses for DR. AMANDA ROSE DONNELLY (PHD)

  • 11855 ULYSSES ST NE

    BLAINE, MN 554343947

    Phone: (763) 762-9241

    Type: Mailing

  • 10611 BALTIMORE ST NE UNIT 490412

    MINNEAPOLIS, MN 554499930

    Phone: (651) 279-3963

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55434)

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Frequently asked questions

How do payers reference DR. AMANDA ROSE DONNELLY (PHD)?
For DR. AMANDA ROSE DONNELLY (PHD), use NPI 1760079396 as the unique 10-digit identifier.
Would DR. AMANDA ROSE DONNELLY (PHD) appear as active to a payer?
You can treat DR. AMANDA ROSE DONNELLY (PHD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. AMANDA ROSE DONNELLY (PHD)?
DR. AMANDA ROSE DONNELLY (PHD)'s specialty line reads Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is DR. AMANDA ROSE DONNELLY (PHD) located near Blaine?
DR. AMANDA ROSE DONNELLY (PHD) currently maps to Blaine, Minnesota in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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