Michelle M. Domowicz, M.A., L.PSY

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS007436L Issued in PA

Practice address

11 W 33Rd St
Erie, PA 16508-2807

Phone

(814) 456-0846

NPI assigned

Nov 30, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417025347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 W 33RD ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082807",
            "telephone_number": "814-456-0846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 W 33RD ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082807",
            "telephone_number": "814-456-0846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMOWICZ",
        "first_name": "MICHELLE",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "M.A., L.PSY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS007436L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica K Dombkowski, LPC
• Kristin Ann Dombroski, LCSW
• Colleen Kassandra Dominici, PA-C
• Tim Dommermuth, R.PH.
• Jacob Domoracki, CRNP
• Christina M Donath, MD
• Claire Donch, LCSW
• Siyi Dong
• Mary Donikowski, CRNP
• Donnelle Super Counseling, LLC

• Clinical Psychologist in Erie, PA
• Providers in Erie, PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.