Dominique Marlina Delbene

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

35 Congress St Ste 2
Salem, MA 01970-5567

Phone

(978) 745-2440

NPI assigned

Oct 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• Northeast Behavioral Health Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beverly, MA
  • NPI 1154302586
  NPD

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1285233932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 UPHAM ST",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019601245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CONGRESS ST STE 2",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019705567",
            "telephone_number": "978-745-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELBENE",
        "first_name": "DOMINIQUE",
        "middle_name": "MARLINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Salem",
            "affiliation": "N",
            "endpointDescription": "Salem OP Clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "35 Congress St Ste 2",
            "city": "Salem",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019705567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Deep Roots Wellness LLC
• Noel P Defelippo, MD
• Kayla Defeo
• Dale Karen Defort, RN CS
• Miranda Degen
• Adadkmary Delbrey
• Angel Deleon
• Claudia Delgado Garrido, MD
• Jacqueline Suzanne Delvecchio, M.S., LMHC
• Kristina Athena Demetriou

• Mental Health Counselor in Salem, MA
• Providers in Salem, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.