Dominga Needham, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95030432 Issued in CA

Practice address

2105 Martin Luther King Jr Way FL 1
Berkeley, CA 94704-1108

Phone

(885) 888-8995

Fax

(510) 756-0812

NPI assigned

Feb 23, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Foresight Mental Health

  • Counselor
  • Sacramento, CA
  • NPI 1902390537

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1487248118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 MARTIN LUTHER KING JR WAY FL 1",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041108",
            "telephone_number": "888-588-8995",
            "fax_number": "510-756-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 MARTIN LUTHER KING JR WAY FL 1",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041108",
            "telephone_number": "885-888-8995",
            "fax_number": "510-756-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEEDHAM",
        "first_name": "DOMINGA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "95030432",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95030432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariam Nawabi, CMPSS
• Napoleon Nazareno IV, NP-C
• Jessica Muthoni Ndiritu, FNP
• Matthew James Nealon, DDS
• Samara S. Nebenzahl, MD
• Deena Neff, M.D.
• Andrea Nelson
• Butler Nelson, PH.D.
• Debra Colleen Nelson, MD
• Jeffrey Donald Nelson, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.