Individual provider Active NPI

Claire Louise Domico, CCC-SLP

  • Speech-Language Pathologist
  • Pittsburgh, PA
National Provider Identifier
1427832898
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL014460 Issued in PA
Practice address
704 Crystal Dr
Pittsburgh, PA 15228-2445
Phone
(814) 574-9126
NPI assigned
Aug 24, 2023
Last updated
Aug 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL014460 PA Primary

Addresses

Primary practice location

704 Crystal Dr
Pittsburgh, PA 15228-2445

Mailing address

704 Crystal Dr
Pittsburgh, PA 15228-2445
Phone (814) 574-9126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240830001215 PA Practitioner - Qualified Speech Language Pathologist 7315486610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

600 Forbes Ave
406 Fisher HL
Pittsburgh, PA 15282-2240
Phone 41239642004047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SL014460PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Duquesne University of the Holy Spirit CurrentSince Aug 1, 2024 Accepting new patients
Duquesne University of the Holy Spirit CurrentSince Aug 1, 2024 Accepting new patients
Duquesne University of the Holy Spirit Past Accepting new patients

Locations

600 Forbes Ave
Pittsburgh, PA 15282

600 Forbes Ave
#406
Pittsburgh, PA 15219
Phone (412) 396-4046

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": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1427832898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 CRYSTAL DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152282445",
            "telephone_number": "814-574-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 CRYSTAL DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152282445",
            "telephone_number": "814-574-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMICO",
        "first_name": "CLAIRE",
        "middle_name": "LOUISE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL014460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.