DR. JENNIFER STIERWALT DOMINGO (NPI# 1306074729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306074729 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER STIERWALT DOMINGO |
| Other Name | JENNIFER KIM STIERWALT |
| Credential | M.D. |
| Practice Address |
Building 2489, Ricker Road West Bliss Clinic Fort Bliss TX 79906 |
| Practice Telephone | 3016483126 |
| Mailing Telephone | 9157424781 |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2014-02-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
16188 | HI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104097286 | Jennifer I Domingo | Marriage & Family Therapist | 10605 Se 240th St, #741, Kent, WA 98031-4903 | 2008-03-17 |
| Street Address |
BUILDING 2489, RICKER ROAD WEST BLISS CLINIC |
| City | FORT BLISS |
| State | TX |
| Zip Code | 79906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922562073 | Anthony Patrick Perales | Physical Therapist | 11133 Ssg Sims St, Fort Bliss, TX 79906 | 2019-01-23 |
| 1336610237 | Guadalupe Gomez | Social Worker | 1026 Chafee Rd, El Paso, TX 79906 | 2018-12-17 |
| 1598259525 | Phillip Harrison | Physician Assistant | Mendoza Clinic, 11335 Ssg Sims, Fort Bliss, TX 79906 | 2018-06-22 |
| 1447601950 | Kayla Gale Hone | Dental Hygienist | 11344 Ssg Sims, Fort Bliss, TX 79906 | 2016-06-27 |
| 1104283498 | Respira, Inc. | Durable Medical Equipment & Medical Supplies | 1611 Marshall Road, Fort Bliss, TX 79906 | 2016-01-19 |
| 1083967657 | National Vision, Inc. | Technician/Technologist | Fort Bliss Main Exchange, Bldg. 1616, Ste. F107, Fort Bliss, TX 79906 | 2012-10-19 |
| 1912176223 | Progreso Eyecare | Optometrist | Bldg. 1611 Marshall Road, Main Px Mall, Fort Bliss, TX 79906 | 2008-02-21 |
| 1932165651 | Gulabdas D Hariyani | General Practice | 6380 Morgan Ave, Suite E, El Paso, TX 79906 | 2006-04-21 |
| 1447750443 | Torey Elaina Sippio-james | Registered Nurse | 5613 Rattlesnake Springs Rd Apt D, El Paso, TX 79906-2106 | 2018-02-15 |
| 1104385657 | Alyssa Nyilas | Behavior Technician | 5691 Rattlesnake Springs Rd Apt B, Fort Bliss, TX 79906-2115 | 2019-03-14 |
| Find all providers in zip 79906 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033538459 | Sandeep Saran | Psychiatry & Neurology | 11685 Sergeant Major Blvd, Fort Bliss, TX 79918-8061 | 2014-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997920 | Pearland Psychiatric Associates Pllc | Psychiatry & Neurology | 2743 Smith Ranch Rd Unit 101, Pearland, TX 77584-5205 | 2020-09-22 |
| 1821604364 | Mindful Brain Health Pllc | Psychiatry & Neurology | 4012 Hoyer Cv, Round Rock, TX 78681-1045 | 2020-09-21 |
| 1013523604 | Stephen Oravec | Psychiatry & Neurology | 952 Danny Sanchez Pl, Anthony, TX 79821-7365 | 2020-09-18 |
| 1063028884 | West Texas Tms Pllc | Psychiatry & Neurology | 4601 Buffalo Gap Rd Ste B3, Abilene, TX 79606-3362 | 2020-09-17 |
| 1386267466 | Sharon Marjorie Tomlinson | Psychiatry & Neurology | 705 Bray Central Dr Apt 9306, Allen, TX 75013-6377 | 2020-05-22 |
| 1821610528 | Dr Erum Psychiatry, Pllc | Psychiatry & Neurology | 2425 N Central Expy Ste 700, Richardson, TX 75080-2860 | 2020-05-15 |
| 1366062358 | Luckhart Psychiatry, Pllc | Psychiatry & Neurology | 7100 Boulevard 26 Ste 101, Richland Hills, TX 76180-8687 | 2020-04-20 |
| 1093334104 | Phoenix Mental Health Tms | Psychiatry & Neurology | 19707 Ih 10 W Ste 314, San Antonio, TX 78257-1746 | 2020-04-09 |
| 1104445220 | Neogen Mental Health and Behavioral Services, Pa. | Psychiatry & Neurology | 2141 Kirkwood Blvd Ste 130, Southlake, TX 76092-1464 | 2020-04-09 |
| 1154950459 | Compass Psychiatry Solutions | Psychiatry & Neurology | 2026 Wirt Rd Fl 2, Houston, TX 77055-1626 | 2020-04-07 |
| Find all providers with the same taxonomy | ||||
| City | FORT BLISS |
| Zip Code | 79906 |
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| 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.