Richard Dombrowski, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301006528 Issued in MI

Practice address

836 Centennial Way
Suite 160
Lansing, MI 48917-8238

Phone

(517) 703-0110

Fax

(517) 703-0113

NPI assigned

Nov 17, 2006

Last updated

Sep 26, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Comprehensive Psychological Service, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • East Lansing, MI
  • NPI 1689211153
  NPD
• Individualized Quality Therapy LLC

  • Occupational Therapist
  • Lansing, MI
  • NPI 1275090268
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411689600000",
    "number": "1750455226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 CENTENNIAL WAY",
            "address_2": "SUITE 160",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178238",
            "telephone_number": "517-703-0110",
            "fax_number": "517-703-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 CENTENNIAL WAY",
            "address_2": "SUITE 160",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178238",
            "telephone_number": "517-703-0110",
            "fax_number": "517-703-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMBROWSKI",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2014-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301006528",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301006528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5247231",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP OF MID MI",
            "identifier": "61-45416",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "680B345140",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Dodson
• Sara Nicole Dodson, BCBA
• Lily Doher, RD
• Grant Dolan, DO
• Michael Paul Dolan, LLP
• Alyssa Donahoo
• Claire Anne Donahue
• Shawn Michael Donaldson
• Trevor Daniel Donaldson
• Dawn Doneth, OTR/L

• Clinical Psychologist in Lansing, MI
• Providers in Lansing, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; 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.