Provider Demographics
NPI:1285042218
Name:SANTAGATI, DONNA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:
Last Name:SANTAGATI
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 AGASSIZ AVE
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-5023
Mailing Address - Country:US
Mailing Address - Phone:773-860-7770
Mailing Address - Fax:617-484-4541
Practice Address - Street 1:38 LEXINGTON ST STE E
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:MA
Practice Address - Zip Code:02478-5009
Practice Address - Country:US
Practice Address - Phone:773-860-7770
Practice Address - Fax:617-484-4541
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-22
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA9914103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist