Dominion Psychological Associates LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DOMINION PSYCHOLOGICAL ASSOCIATES LLC

Practice address

809 Main Street
Ste #101
Newport News, VA 23605

Phone

(757) 550-5266

NPI assigned

Mar 4, 2021

Organization subpart

No

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

Authorized official

Name

Michelle Jan Johnson, LCSWNPI 1003432949

Title

LCSW/Administrator

Phone

(757) 550-5266

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle J Johnson, LCSW

  • Clinical Social Worker
  • Newport News, VA
  • NPI 1003432949
  NPD Authorized official

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614816000000",
    "number": "1649865312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 TODDS LN # 331",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236663123",
            "telephone_number": "757-550-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 MAIN STREET",
            "address_2": "STE #101",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23605",
            "telephone_number": "757-550-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION PSYCHOLOGICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "JAN",
        "authorized_official_title_or_position": "LCSW/ADMINISTRATOR",
        "authorized_official_telephone_number": "757-550-5266",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Jean Dolan, NNP
• Daniel Anthony Dolewski II, M.D.
• James F Dollar, DDS
• Dominion Health Care Solutions Inc
• Dominion Health Solutions Inc
• Gregory S Donaldson, P.A.-C
• Michele Donnelly, COTA
• John Harrington Donohue, M.D.
• Emily Dooley, PT
• Dorcas Travels LLC

• Clinical Social Worker in Newport News, VA
• Providers in Newport News, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.