DR. CECILIA M DOMINGUEZ (NPI# 1174764732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174764732 |
Entity Type | Individual |
Full Name | DR. CECILIA M DOMINGUEZ |
Credential | PSY.D |
Practice Address |
2101 Ne 139th St Ste 265 Vancouver WA 98686-2311 |
Mailing Address |
2209 E 2nd St Apt 6 Los Angeles CA 90033-3960 |
Practice Telephone | 3604872700 |
Practice Fax Number | 3604872701 |
Mailing Telephone | 4155157364 |
Enumeration Date | 2009-03-11 |
Last Update Date | 2019-05-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TC0700X |
Psychologist Specialization: Clinical |
2673 | OR | Behavioral Health & Social Service Providers |
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY60666459 | WA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790305779 | Cecilia Sophia Dominguez | Counselor | 800 W 17th St, Big Spring, TX 79720-4224 | 2020-04-20 |
Street Address |
2101 NE 139TH ST STE 265 |
City | VANCOUVER |
State | WA |
Zip Code | 98686-2311 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720393622 | Lee Slaughter | Physical Therapist | 2101 Ne 139th St Ste 265, Vancouver, WA 98686 | 2010-08-16 |
1629204979 | Advanced Gastroenterology, PC | Specialist | 2101 Ne 139th St Ste 265, Vancouver, WA 98686-2311 | 2009-06-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154891117 | Dorota Bozena Barton | Speech-Language Pathologist | 2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686 | 2018-12-03 |
1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
1801382387 | Kristopher K Kostenko | Dentist | 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 | 2018-07-08 |
1689164071 | Tegan Mills | Occupational Therapist | 7101 Ne 109th Street, Apt 64, Vancouver, WA 98686 | 2018-05-11 |
1164924122 | Kate Kristin Lawrence | Speech-Language Pathologist | 2215 Ne 104th St, Vancouver, WA 98686 | 2018-03-06 |
1437609567 | Elina Baranets | Registered Nurse | 14204 Ne Salmon Creek Avenue, Vancouver, WA 98686 | 2016-10-13 |
1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
1376988642 | Lindsay Hussey-andersen | Orthopaedic Surgery | 2525 Ne 139th St Ste 140, Vancouver, WA 98686 | 2013-05-01 |
1710253109 | Legacy Salmon Creek Hospital | Speech-Language Pathologist | 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 | 2012-03-29 |
Find all providers in zip 98686 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265055172 | Dani Nierenberg Phd Bcb Pllc | Psychologist | 108 Se 124th Ave Ste 12, Vancouver, WA 98684-6015 | 2020-05-27 |
1790311157 | Ryan Mangum | Psychologist | 2009 F St, Vancouver, WA 98663-3345 | 2020-03-18 |
1790217578 | Allison Rose Chambers-dixson | Psychologist | 750 Officers Row, Vancouver, WA 98661-3845 | 2017-03-30 |
1225408941 | Peter Weiss | Psychologist | 237 Ne Chkalov Dr Ste 118, Vancouver, WA 98684-5054 | 2015-10-07 |
1912281254 | Linda Lee | Psychologist | 13220 Nw 33rd Ave, Vancouver, WA 98685-2288 | 2011-10-05 |
1215241781 | Chrystal Joy Agnor | Psychologist | 10708 Ne 90th Ct, Vancouver, WA 98662-1455 | 2010-07-27 |
1093040743 | Gregory Allen May | Psychologist | 400 E Evergreen Blvd Ste 209, Vancouver, WA 98660-3264 | 2009-10-14 |
1780826289 | Kelly Ross Fielding | Psychologist | 201 E 19th St, Vancouver, WA 98663-3301 | 2009-03-30 |
1265684765 | Gary Seeman | Psychologist | 9901 Ne 7th Ave Ste B231, Vancouver, WA 98685-4538 | 2008-10-15 |
1548411275 | Gretchen C Lemmon | Psychologist | 1104 Main St Ste 550a, Vancouver, WA 98660-2955 | 2008-09-30 |
Find all providers in VANCOUVER |
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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.