Dominion Healthcare Services Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

DOMINION HEALTHCARE SERVICES INC

Practice address

3455 Wilkens Ave Ste 208
Baltimore, MD 21229-5265

Phone

(667) 260-6027

Fax

(667) 260-6028

NPI assigned

Dec 5, 2023

Organization subpart

No

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

Authorized official

Name

Angelah Awuah

Title

Provider

Phone

(443) 848-9123

Specialties & licenses 1

Addresses

Tax ID family

Dominion Healthcare Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dominion Healthcare Services Inc

  • Primary Care Clinic/Center
  • Elkridge, MD
  • NPI 1821512591
  NPD tax ID

Locations

Practitioners 1

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

• Angela Awuah

  • Family Nurse Practitioner
  • Elkridge, MD
  • NPI 1417351255
  NPD

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1902673437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 WILKENS AVE STE 208",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295265",
            "telephone_number": "667-260-6027",
            "fax_number": "667-260-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 WILKENS AVE STE 208",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295265",
            "telephone_number": "667-260-6027",
            "fax_number": "667-260-6028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-05",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "AWUAH",
        "authorized_official_first_name": "ANGELAH",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "443-848-9123"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesus Dominguez, M.D.
• Raychel Dominguez
• Wanda Inez Dominic, LPN
• Abigail Dominijanni, PA-C
• Kristen Dominik, PHARMD
• Dominion Home Health, Inc.
• Dominion Medical Equipment Consortium, LLC
• Dominion Resource Center Inc
• Madelyn Dominiski, LCPC
• Aila Katrine Dommestrup

• Mental Health Clinic/Center (Including Community Mental Health Center) in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.