Active NPI
Valentina Doumanian, MD
- Psychiatry Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- R6384
- Practice address
- 3500 Gaston Ave
Dallas, TX 75246-2088 - Phone
- (214) 820-0111
- NPI assigned
- May 26, 2006
- Last updated
- Jun 21, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 63405 | MN | |
| Psychiatry Physician | 2084P0800X | MD187279 | OR | |
| Psychiatry Physician | 2084P0800X | MD60839274 | WA | |
| Psychiatry Physician | 2084P0800X | 2019010503 | MO | |
| Psychiatry Physician | 2084P0800X | 36524 | IA | |
| Psychiatry Physician | 2084P0800X | 86-320 | WI | |
| Psychiatry Physician | 2084P0800X | R6384 | TX | Primary |
Addresses
Primary practice location
3500 Gaston Ave
Dallas, TX 75246-2088
Mailing address
151 175TH Ave E
Redington Shores, FL 33708-1207
Phone (515) 779-6746
Other practice location 1
1015 NW 22nd Ave
Portland, OR 97210-3025
Phone (503) 413-7711
Other practice location 2
2211 NE 139th St
Vancouver, WA 98686-2742
Phone (360) 487-1000
Other practice location 3
1629 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6000
Other practice location 4
2505 Mission Dr
Jefferson City, MO 65109-9508
Phone (573) 681-3000
Other practice location 5
700 S Park St
Madison, WI 53715-1830
Phone (608) 251-6100
Other practice location 6
4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522
Phone (763) 236-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0487256 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, TX, NY, FL, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36524 | IA | MD | Psychiatry Physician |
| 63405 | MN | MD | Psychiatry Physician |
| 2019010503 | MO | MD | Psychiatry Physician |
| MD187279 | OR | MD | Psychiatry Physician |
| R6384 | TX | MD | Psychiatry Physician |
| 86-320 | WI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCCD FL Psychiatry Services PA | Psychiatry | Current | Accepting new patients |
| Legacy Clinics LLC | Current | Accepting new patients | |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients |
Locations
1301 Riverplace Blvd
Jacksonville, FL 32207
1301 Riverplace Blvd
Ste 800
Jacksonville, FL 32207
Phone (904) 567-6040
109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572
1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582
1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134
2418 E York St
Philadelphia, PA 19125
Phone (215) 575-5906
1400 N Coit Rd
Ste 302
McKinney, TX 75071
Phone (214) 945-3640
Organizations & group practices 4
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.
-
- Clinic/Center
- Portland, OR
- NPI 1902827272
-
dba Talkiatry
- Psychiatry Physician
- Jacksonville, FL
- NPI 1659003457
PA, TX
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561075200000",
"number": "1205882693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 175TH AVE E",
"city": "REDINGTON SHORES",
"state": "FL",
"postal_code": "337081207",
"telephone_number": "515-779-6746",
"fax_number": "512-838-4264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 GASTON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462088",
"telephone_number": "214-820-0111"
}
],
"practiceLocations": [
{
"address_1": "1015 NW 22nd Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972103025",
"country_code": "US",
"telephone_number": "503-413-7711",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2211 NE 139th St",
"address_purpose": "LOCATION",
"city": "Vancouver",
"state": "WA",
"postal_code": "986862742",
"country_code": "US",
"telephone_number": "360-487-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1629 E Division St",
"address_purpose": "LOCATION",
"city": "River Falls",
"state": "WI",
"postal_code": "540221571",
"country_code": "US",
"telephone_number": "715-307-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2505 Mission Dr",
"address_purpose": "LOCATION",
"city": "Jefferson City",
"state": "MO",
"postal_code": "651099508",
"country_code": "US",
"telephone_number": "573-681-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 S Park St",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537151830",
"country_code": "US",
"telephone_number": "608-251-6100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4050 Coon Rapids Blvd NW",
"address_purpose": "LOCATION",
"city": "Coon Rapids",
"state": "MN",
"postal_code": "554332522",
"country_code": "US",
"telephone_number": "763-236-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOUMANIAN",
"first_name": "VALENTINA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2019-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "63405",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OR",
"license": "MD187279",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD60839274",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2019010503",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IA",
"license": "36524",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "86-320",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "R6384",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0487256",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.