Individual provider Active NPI

Dominika Wrobel

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1083769087
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
353 S Cloverdale Ave Apt 7
Los Angeles, CA 90036-3426
Phone
(323) 937-4217
NPI assigned
Jan 23, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

353 S Cloverdale Ave Apt 7
Los Angeles, CA 90036-3426

Mailing address

353 S Cloverdale Ave Apt 7
Los Angeles, CA 90036-3426
Phone (323) 937-4217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251110000761 AZ Practitioner - Marriage and Family Therapist 5597255349 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2957 W Woburn LN
Phoenix, AZ 85085-5520

3450 N 3Rd St
Phoenix, AZ 85012-2331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Behavioral Health Services, Inc. CurrentSince Aug 29, 2025 Accepting new patients
Southwest Behavioral Health Services Inc CurrentSince Aug 29, 2025 Accepting new patients
Southwest Behavioral Health Services Inc Current Accepting new patients

Locations

404 W Aero Dr
Payson, AZ 85541
Phone (928) 238-3024

2042 N 35th Ave
Phoenix, AZ 85009
Phone (602) 233-0115

3450 N 3rd St
Phoenix, AZ 85012
Phone (602) 257-9339

4420 S 32nd St
Phoenix, AZ 85040
Phone (602) 267-8748

7600 E Florentine Rd
Ste 101
Prescott Valley, AZ 86314
Phone (928) 775-7088

7600 E Florentine Rd
Ste 201
Prescott Valley, AZ 86314
Phone (928) 775-7088

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083769087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 S CLOVERDALE AVE APT 7",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363426",
            "telephone_number": "323-937-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 S CLOVERDALE AVE APT 7",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363426",
            "telephone_number": "323-937-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WROBEL",
        "first_name": "DOMINIKA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.