MRS. SUSAN DOMINGUEZ M.S. NPI 1477709483

NPI Information

  • NPI: 1477709483
  • Provider Name: MRS. SUSAN DOMINGUEZ, M.S.
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3200 ADELINE ST
    BERKELEY, CA
    ZIP 94703
  • Phone: (510) 601-0203

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NPI Details

MRS. Susan Dominguez, M.S. is a counselor in Berkeley, CA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MRS. Susan Dominguez, M.S. NPI is 1477709483. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3200 ADELINE ST
BERKELEY, CA
ZIP 94703-407
Phone: (510) 601-0203
Fax: (510) 601-4002

The NPI 1477709483 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/9/2008 and was last updated on 10/18/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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