Care Dominance Healthcare Service LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CARE DOMINANCE HEALTHCARE SERVICE LLC

Practice address

908 Lawndale St
Celina, TX 75009-1643

Phone

(347) 734-1070

NPI assigned

Apr 14, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Caroline Sam, PMHNPNPI 1932507274

Title

Nurse Practitioner

Phone

(347) 734-1070

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Caroline E Sam

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
  • NPI 1932507274
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1023704764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 LAWNDALE ST",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750091643",
            "telephone_number": "347-734-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 LAWNDALE ST",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750091643",
            "telephone_number": "347-734-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE DOMINANCE HEALTHCARE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "SAM",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "347-734-1070",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harold Shane Brown, DPM
• Victoria Ann Brown, DPT
• Haley Reese Browning
• Ireneo Candela, OTR/ L
• Angela Mae Cantrell, COTA
• Caring Hope LLC
• Ivy Mae Bunachita Carrillo, OTR/L
• Celina Aesthetics and Healthcare Clinic LLC
• Celina Dental Group PLLC
• Celina Drug Incorporated

• Mental Health Clinic/Center (Including Community Mental Health Center) in Celina, TX
• Providers in Celina, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.