Tellis Colt Donajkowski, MA Psychology
Psychologist, Counseling in Livonia, MI. Individual provider (NPI-1).
NPI number1790302255
StatusActive
Last updated in NPPESMar 18, 2025
Details
- NPI
- 1790302255
- Entity type
- Individual (NPI-1)
- Name
- Tellis Colt Donajkowski
- Credential
- MA Psychology
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 1, 2020
- Certification date
- Mar 18, 2025
- Last updated
- Mar 18, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC1900X | Psychologist, Counseling | 6362009882 | MI | Yes |
Practice location
33137 Schoolcraft RdLivonia, MI 48150-1625
Phone 248-243-8033
Mailing address
33137 Schoolcraft RdLivonia, MI 48150-1625
Phone 248-243-8033
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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