Elliott Dombrosky

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LDC0000001486 Issued in TN

Practice address

113 Asbee CT
Goodlettsville, TN 37072-2110

Phone

(440) 525-4750

NPI assigned

Jun 28, 2016

Last updated

Aug 11, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

• Project Brilliance

  • Behavior Analyst
  • Palm Beach Gardens, FL
  • NPI 1760889117
  NPD (past)

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1801247077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 ASBEE CT STE 109",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722110",
            "telephone_number": "440-525-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 ASBEE CT",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722110",
            "telephone_number": "440-525-4750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9000 Burma Rd",
            "address_2": "Suite 109",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334031606",
            "country_code": "US",
            "telephone_number": "561-508-6122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMBROSKY",
        "first_name": "ELLIOTT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-28",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TN",
            "license": "LDC0000001486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dentistry and Fastbraces PC
• Victoria Dillehay, DDS
• Robin Disney, MS CCC-SLP
• S Adele Doherty
• Terrence J Doherty, M.D.
• Rochelle Doniz
• Nancy Crockett Donlon, RN
• Greice Dos Santos de Sa
• Sheila Marie Douglas
• Dr. Jeffrey a. Rothman and Assoc, PC

• Addiction (Substance Use Disorder) Counselor in Goodlettsville, TN
• Providers in Goodlettsville, TN by specialty
• Addiction (Substance Use Disorder) Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.