Dominic Griffin

Primary specialty

Adult Development & Aging PsychologistTaxonomy code 103TA0700X

License

18813 Issued in VA

Practice address

1309 Coltrane Dr
Portsmouth, VA 23701-3820

Phone

(757) 580-6366

NPI assigned

Apr 28, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Catina Jackson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1777334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1447196522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 COLTRANE DR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237013820",
            "telephone_number": "757-580-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 COLTRANE DR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237013820",
            "telephone_number": "757-580-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "DOMINIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-28",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "VA",
            "license": "18813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATINA",
            "last_name": "JACKSON",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Antoine Lamont Grider, RN, CCM
• Tracie Grider, PMHNP-BC
• Alexander David Grieme
• James V. Griesi, P.T.
• Sandi-Lucia Griffen
• Gregory Griffin, LCSW
• Tobijah T Griffin, PHYSICIAN ASSISTANT
• Leamoy Griffiths
• Kathy Hancock Grillo, CFNP
• Jack Siler Grimes Jr., L.C.S.W.

• Adult Development & Aging Psychologist in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Adult Development & Aging Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.