Dominique Mekis

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

2160 W Grant Line Rd Ste 215
Tracy, CA 95377-7333

Phone

(209) 597-3587

NPI assigned

Mar 16, 2023

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

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Change Within Reach Inc

  • Adult Mental Health Clinic/Center
  • Encino, CA
  • NPI 1003207002

  Marriage & Family Therapist

  Medicare reassignment NPD
• Thrive Community Family Therapy Services

  dba Thrive Therapeutic Services

  • Marriage & Family Therapist
  • Tracy, CA
  • NPI 1568974244
  NPD (past)

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1528769460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 W GRANT LINE RD STE 215",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953777333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 W GRANT LINE RD STE 215",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953777333",
            "telephone_number": "209-597-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEKIS",
        "first_name": "DOMINIQUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Kumar Mehmi, PHARMD
• Melissa Campbell Mahan Meibeyer Miller
• Amanda Meininger, M.ED
• Gina Mejia
• Pamela Mejia
• Thomas Membrere
• Denise Mendez
• Jacinta Mendez
• Jessica Mendoza Banales
• Angelica Mendoza

• Marriage & Family Therapist in Tracy, CA
• Providers in Tracy, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.