Active NPI
Danielle Anika Domingue Sumi, MA, MFT
- Marriage & Family Therapist
- Watertown, MA
National Provider Identifier
1871961714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF94380
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| IMF94380 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Artrelief LLC | Past | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Watertown, MA
- NPI 1427657923
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.