Active NPI
Hannah Christine Dominguez
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1548921455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 145609
- Practice address
- 7917 Ostrow St Ste a
San Diego, CA 92111-3604 - Phone
- (858) 300-8282
- NPI assigned
- Jan 3, 2022
- Last updated
- Mar 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 145609 | CA | Primary |
Addresses
Primary practice location
7917 Ostrow St Ste a
San Diego, CA 92111-3604
Mailing address
7912 Ostrow St Ste a
San Diego, CA 92111-3605
Phone (858) 300-8284
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hdominguez@ymcasd.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 145609 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Research Foundation Inc | Current | Accepting new patients | |
| YMCA of San Diego County | Past | Accepting new patients |
Locations
7917 Ostrow St
Ste A
San Diego, CA 92111
Phone (858) 300-8282
Organizations & group practices 2
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.
-
dba Douglas Young Youth and Family Services
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1689897100
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1306979406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709856000000",
"number": "1548921455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7912 OSTROW ST STE A",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921113605",
"telephone_number": "858-300-8284",
"fax_number": "858-300-8284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7917 OSTROW ST STE A",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921113604",
"telephone_number": "858-300-8282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINGUEZ",
"first_name": "HANNAH",
"middle_name": "CHRISTINE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-03",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "145609",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hdominguez@ymcasd.org",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4394 30th St",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921041314",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.