MR. DOMINIQUE MC DOWELL (NPI# 1881059210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881059210 |
| Entity Type | Individual |
| Full Name | MR. DOMINIQUE MC DOWELL |
| Credential | CADC-CAS |
| Practice Address |
16 Ritter St San Rafael CA 94912-3517 |
| Mailing Address |
11 Albion St San Rafael CA 94901-5201 |
| Practice Telephone | 4154578182 |
| Mailing Telephone | 4158791723 |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
C15041214 | CA | Behavioral Health & Social Service Providers |
| Street Address |
16 RITTER ST |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94912-3517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962611236 | Anne O'neal Poore | Nurse Practitioner | 16 Ritter St, San Rafael, CA 94901-3323 | 2007-05-22 |
| 1649758962 | Joseph Bernard Charles | Nurse Practitioner | 16 Ritter St, San Rafael, CA 94901-3323 | 2018-07-30 |
| 1427585264 | Nicolette Christine Gottuso | Counselor | 16 Ritter St, San Rafael, CA 94901-3323 | 2017-05-11 |
| 1952794406 | Barbara Shreibman | Nurse Practitioner | 16 Ritter St, San Rafael, CA 94901-3323 | 2015-03-09 |
| 1720493661 | Alia Marie Bertolozzi | Nurse Practitioner | 16 Ritter St, San Rafael, CA 94901-3323 | 2014-06-30 |
| 1417370032 | Ritter Center | Clinic/Center | 16 Ritter St, San Rafael, CA 94901-3323 | 2014-02-03 |
| 1427343615 | Erica Sutherland | Registered Nurse | 16 Ritter St, San Rafael, CA 94901-3323 | 2011-06-15 |
| 1043451198 | Carmen Lily Carrouche | Registered Nurse | 16 Ritter St, San Rafael, CA 94901-3323 | 2009-03-19 |
| 1801035043 | Marcia Tumy Byrnes | Registered Nurse | 16 Ritter St, San Rafael, CA 94901-3323 | 2009-02-11 |
| 1861652018 | Sonya Gohel Wallace | Nurse Practitioner | 16 Ritter St, San Rafael, CA 94901-3323 | 2008-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174721856 | David S Fankushen | Internal Medicine | 12 Ritter St, San Rafael, CA 94912 | 2007-07-05 |
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912542457 | Stephen Lochrane Prince | Counselor | 10 N San Pedro Rd Ste 1015, San Rafael, CA 94903-4155 | 2019-11-07 |
| 1912463332 | Jenna Roth Ring | Counselor | 1005 Northgate Dr # 115, San Rafael, CA 94903-2500 | 2019-02-11 |
| 1194263228 | Daron Austin | Counselor | 710 C St Ste 8, San Rafael, CA 94901-3853 | 2017-02-09 |
| 1427507789 | Full Circle Addiction and Recovery Services | Counselor | 1104 Lincoln Ave, San Rafael, CA 94901-3245 | 2016-09-28 |
| 1750744637 | Karen Witt | Counselor | 110 Plymouth Cv, San Rafael, CA 94901-4461 | 2016-03-30 |
| 1952763724 | Donald Lee Merriam IIi | Counselor | 603 D Street, San Rafael, CA 94901 | 2016-03-22 |
| 1912367236 | Felipe Perez | Counselor | 710 C Street, Suite 7, San Rafael, CA 94901 | 2016-02-29 |
| 1568839926 | Jenna Kerler | Counselor | 22 San Pablo Ave Apt 2, San Rafael, CA 94903-4122 | 2015-09-01 |
| 1598159790 | James Paul Goss IIi | Counselor | 1005 A St Ste 209, San Rafael, CA 94901-3127 | 2015-03-25 |
| 1053702787 | Marin Outpatient Recovery Services | Counselor | 11 Albion St, San Rafael, CA 94901-5201 | 2015-02-17 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94912 |
Please comment or provide details below to improve the information on MR. DOMINIQUE MC DOWELL.
| 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.