KETTY DOMINQUEZ (NPI# 1144855636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144855636 |
| Entity Type | Individual |
| Full Name | KETTY DOMINQUEZ |
| Credential | LICENSED MENTAL HEAL |
| Practice Address |
4101 Parker Ave West Palm Beach FL 33405-2507 |
| Practice Telephone | 5616161222 |
| Practice Fax Number | 5616161230 |
| Mailing Telephone | 5616161222 |
| Mailing Fax Number | 5616161230 |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH17812 | FL | Behavioral Health & Social Service Providers |
| Street Address |
4101 PARKER AVE |
| City | WEST PALM BEACH |
| State | FL |
| Zip Code | 33405-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013112150 | David Allen Claud | Counselor | 4101 Parker Ave, West Palm Beach, FL 33405-2507 | 2007-06-19 |
| 1912545708 | Karina Hester | Marriage & Family Therapist | 4101 Parker Ave, West Palm Beach, FL 33405-2507 | 2019-12-12 |
| 1194369389 | Cynthia Lubin Nicolas | Counselor | 4101 Parker Ave, West Palm Beach, FL 33405-2507 | 2019-10-31 |
| 1720559156 | Jennifer Schneider | Social Worker | 4101 Parker Ave, West Palm Beach, FL 33405-2507 | 2018-12-11 |
| 1952883654 | David M Tkac | Counselor | 4101 Parker Ave, West Palm Beach, FL 33405-2507 | 2018-08-30 |
| 1518482033 | Patricia S Goodrich | Social Worker | 4101 Parker Ave, West Palm Beach, FL 33405-2507 | 2017-08-05 |
| 1083148316 | Susan E Mattox | Counselor | 4101 Parker Ave, West Palm Beach, FL 33405-2507 | 2017-04-13 |
| 1669920716 | Anne Denis | Counselor | 4101 Parker Ave, West Palm Beach, FL 33405-2507 | 2016-09-19 |
| 1275991895 | Nichole Chromiak | Counselor | 4101 Parker Ave, West Palm Beach, FL 33405 | 2016-02-10 |
| 1972969095 | Miriam Moreno-duany | Counselor | 4101 Parker Ave, West Palm Beach, FL 33405-2507 | 2016-01-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316460033 | Luis Rafael Victoria | Behavior Technician | 521 Hunter St, Apt 1, West Palm Beach, FL 33405 | 2017-07-25 |
| 1942740865 | Monica Danielle Walling | Counselor | 6107 S Dixie Hwy Ste 3, West Palm Beach, FL 33405 | 2017-02-24 |
| 1609324912 | Prime Physicians Group | Nurse Practitioner | 6600 S. Dixie Hwy, West Palm Beach, FL 33405 | 2016-09-15 |
| 1124499827 | Victoria Cunnea | Chiropractor | 605 Belvedere Rd Ste 18, West Palm Beach, FL 33405 | 2015-10-07 |
| 1902216963 | Stephanie Cheshire | Social Worker | 221 Westminster Road, West Palm Beach, FL 33405 | 2014-04-30 |
| 1245577899 | Iliana Esther Falero | Pharmacist | 828 Suthern Blvd, West Palm Beach, FL 33405 | 2013-01-15 |
| 1073894630 | Renee Lynn Rattray | Counselor | 217.5 Greenwood Drive, West Palm Beach, FL 33405 | 2011-09-08 |
| 1578851507 | Townley Peters | Psychologist | 227 Elwa Pl, West Palm Beach, FL 33405 | 2011-07-11 |
| 1679891667 | Lynda Jennifer Pardo | Pharmacist | 838 Southern Blvd, Publix Pharmacy, West Palm Beach, FL 33405 | 2010-05-14 |
| 1013167170 | Louis Theodore Joseph | Psychiatry & Neurology | 302 E Lakewood Rd, West Palm Beach, FL 33405 | 2008-09-25 |
| Find all providers in zip 33405 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333706 | Lumen Cordis Behavioral Health, LLC | Counselor | 2936 Hidden Hills Rd Apt 1503, West Palm Beach, FL 33411-4826 | 2020-10-16 |
| 1255938254 | Sheri Leticia Wade | Counselor | 4676 N Congress Ave Apt D105, West Palm Beach, FL 33407-3341 | 2020-10-03 |
| 1215544846 | Keith Coleman | Counselor | 1601 Belvedere Rd Ste S-204, West Palm Beach, FL 33406-1541 | 2020-09-28 |
| 1497369821 | Amanda Nicole Finan | Counselor | 2365 Bellarosa Cir, West Palm Beach, FL 33411-1472 | 2020-09-02 |
| 1720697915 | Patricia Elder | Counselor | 3626 Whitehall Dr Apt 206, West Palm Beach, FL 33401-1065 | 2020-07-23 |
| 1194343129 | Ashley Nicole Zarmanian | Counselor | 1779 Palisades Drive, West Palm Beach, FL 33411 | 2020-07-07 |
| 1417571241 | Richard B Haines | Counselor | 728 Executive Center Dr Apt 28, West Palm Beach, FL 33401-8692 | 2020-06-08 |
| 1578184800 | Magalie Williams-joachim | Counselor | 1639 Forum Pl Ste 7561-712, West Palm Beach, FL 33401-2330 | 2020-04-27 |
| 1710518840 | Catherine Jaimes Llanos | Counselor | 9845 Baywinds Dr Apt 6301, West Palm Beach, FL 33411-1837 | 2020-01-28 |
| 1174153936 | Devora Lieberman | Counselor | 3015 Exchange Ct Fl Usa, West Palm Beach, FL 33409-4048 | 2020-01-21 |
| Find all providers in WEST PALM BEACH | ||||
| City | WEST PALM BEACH |
| Zip Code | 33405 |
Please comment or provide details below to improve the information on KETTY DOMINQUEZ.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.