Active NPI
Nadine Domue
- Clinical Psychologist
- Delano, CA
National Provider Identifier
1013340827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY28544
- Practice address
- 737 Cecil Ave
Delano, CA 93215 - Phone
- (661) 721-2345
- NPI assigned
- Aug 15, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY28544 | CA | Primary |
Addresses
Primary practice location
737 Cecil Ave
Delano, CA 93215
Mailing address
7167 Danbury Ave
Hesperia, CA 92345-8807
Phone (909) 633-2399
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY28544 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619913600000",
"number": "1013340827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7167 DANBURY AVE",
"city": "HESPERIA",
"state": "CA",
"postal_code": "923458807",
"telephone_number": "909-633-2399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "737 CECIL AVE",
"city": "DELANO",
"state": "CA",
"postal_code": "93215",
"telephone_number": "661-721-2345"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMUE",
"first_name": "NADINE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-15",
"last_updated": "2021-05-02",
"certification_date": "2021-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY28544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Delano, CA
- Dilbagh Gehlawat M.D., Inc. (Delano Pediatric Group,Inc.)
- Larry Aurelio Dileo, M.D.
- Kayleigh Dill
- Anna Belinda Dimailig-David, M.D.
- Leila P Dingding, CRNA
- Princess Marilyn Lagos Donato, PTA
- Dr D S Park Dental Inc (Smile Dental of Delano)
- Veronica Duran-Perez, FNP
- Jennifer Duran
- Dva Healthcare Renal Care Inc (Delano Dialysis)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.