Individual provider Active NPI

Danielle Anika Domingue Sumi, MA, MFT

  • Marriage & Family Therapist
  • Watertown, MA
National Provider Identifier
1871961714
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF94380 Issued in CA
Practice address
51 Kondazian St
Watertown, MA 02472
Phone
(617) 924-1285
NPI assigned
Sep 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Marriage & Family Therapist 106H00000X IMF94380 CA Primary

Addresses

Primary practice location

51 Kondazian St
Watertown, MA 02472

Mailing address

51 Kondazian St
Watertown, MA 02472-2830
Phone (617) 924-1285

Other practice location 1

520 Dudley St
Roxbury, MA 02119-2769
Phone (617) 989-9499

Other practice location 2

920 E Broadway
Glendale, CA 91205-1204
Phone (818) 247-7474

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
IMF94380CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Artrelief LLC PastSince Nov 1, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1871961714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 KONDAZIAN ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024722830",
            "telephone_number": "617-924-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 KONDAZIAN ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "02472",
            "telephone_number": "617-924-1285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Dudley St",
            "address_purpose": "LOCATION",
            "city": "Roxbury",
            "state": "MA",
            "postal_code": "021192769",
            "country_code": "US",
            "telephone_number": "617-989-9499",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "920 E Broadway",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912051204",
            "country_code": "US",
            "telephone_number": "818-247-7474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMINGUE SUMI",
        "first_name": "DANIELLE",
        "middle_name": "ANIKA",
        "name_prefix": "Miss",
        "credential": "MA, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-09",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF94380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.