DOMENIQUE DELUCIA (NPI# 1104470673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104470673 |
| Entity Type | Individual |
| Full Name | DOMENIQUE DELUCIA |
| Practice Address |
77f Warren Street Brighton MA 02135 |
| Practice Telephone | 6172541271 |
| Mailing Telephone | 6172541271 |
| Mailing Fax Number | 6177827668 |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2019-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
77F WARREN STREET |
| City | BRIGHTON |
| State | MA |
| Zip Code | 02135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699392944 | Nur Zeynep Ay | Student in an Organized Health Care Education/Training Program | 736 Cambridge Street St Elizabeths Medical Center, Graduate Medical Education (diane Giacalone), Boston, MA 02135 | 2020-07-02 |
| 1831751684 | Meredith Mcghee | Audiologist | 736 Cambridge Street Smc-8, Brighton, MA 02135 | 2019-07-02 |
| 1730645847 | Delphine Alignol | Family Medicine | 330 Mount St, Cambridge, MA 02135 | 2019-02-13 |
| 1124501960 | Ellen Elizabeth Miller | Social Worker | 44 Mt Vernon St, Brighton, MA 02135 | 2018-09-07 |
| 1710466180 | Sharon Pae | Acupuncturist | 135 Chiswick Rd Bsmt, Brighton, MA 02135 | 2018-08-07 |
| 1750877155 | Leonid Sigal | Counselor | 9 South St Apt 2, Brighton, MA 02135 | 2018-07-09 |
| 1689165425 | Brian George Mcguire | Dentist | 24 Sidlaw Rd, Brighton, MA 02135 | 2018-05-29 |
| 1619467214 | Ashley Marie Arbuckle | Counselor | 77 Waren Street, Building 9, Brighton, MA 02135 | 2018-05-18 |
| 1871098962 | Arina Sorokina | Dentist | Charles River Community Health Center, 495 Western Avenue, Allston, MA 02135 | 2018-03-29 |
| 1144748757 | Devon Oosting | Psychologist | 42 Strathmore Rd. Apt. 6, Brighton, MA 02135 | 2017-09-04 |
| Find all providers in zip 02135 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879834 | Charles Skoler | Counselor | 15 Colborne Rd Apt 8, Brighton, MA 02135-4843 | 2020-10-20 |
| 1376160168 | Scott Thomas Montgomery | Counselor | 1242 Baywood Cir, Brighton, MI 48116-6761 | 2020-06-29 |
| 1407365638 | Pattric Davis | Counselor | 77f Warren St, Brighton, MA 02135-3601 | 2017-09-20 |
| 1780126383 | Yolanda Louise Cavicchio | Counselor | 19 Burton St Apt 2, Brighton, MA 02135-1503 | 2016-11-14 |
| 1528426749 | Gail Lee Sanchez | Counselor | 5586 S 154th Rd, Brighton, MO 65617 | 2016-02-02 |
| 1063835031 | Anne King-hudson | Counselor | 2060 Grand River Annex Ste 600, Brighton, MI 48114-5312 | 2014-01-28 |
| 1619308194 | Katie Brydon | Counselor | 7030 E 166th Pl, Brighton, CO 80602-4714 | 2013-12-09 |
| 1457782120 | Erin Theriault | Counselor | 9 Winship St, Brighton, MA 02135-3359 | 2013-12-06 |
| 1003164245 | Nicholas James Mitchell | Counselor | 10299 Grand River Rd Ste P, Brighton, MI 48116-9558 | 2012-08-20 |
| 1881961571 | Sarah Elizabeth Lyons | Counselor | 77 Warren St Bldg 5, Brighton, MA 02135-3601 | 2011-11-23 |
| Find all providers in BRIGHTON | ||||
Please comment or provide details below to improve the information on DOMENIQUE DELUCIA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.