MR. JOSE A DOMINGUEZ (NPI# 1629614862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629614862 |
| Entity Type | Individual |
| Full Name | MR. JOSE A DOMINGUEZ |
| Credential | M.EDU. |
| Practice Address |
22 Old Canal Dr Lowell MA 01851-2730 |
| Mailing Address |
116 Lowell Blvd Methuen MA 01844-1813 |
| Practice Telephone | 9784525755 |
| Practice Fax Number | 9789700713 |
| Mailing Telephone | 9786915348 |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2019-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295835775 | Jose Luis Dominguez | Internal Medicine | 2121 Fountain Dr Ste A, Snellville, GA 30078-2900 | 2006-09-24 |
| 1871554774 | Jose Carlos Dominguez Jr. | Allergy & Immunology | 3645 Madaca Ln, Tampa, FL 33618-2048 | 2006-03-30 |
| 1316503733 | Jose Dominguez | Behavior Technician | 6770 N West Ave Ste 105, Fresno, CA 93711-1399 | 2019-05-10 |
| 1770010431 | Jose Fernando Dominguez | Student in an Organized Health Care Education/Training Program | 100 Woods Rd, Valhalla, NY 10595-1530 | 2017-05-12 |
| 1235424573 | Jose Dominguez | Behavioral Analyst | 3691 Nw 124th Ave, Coral Springs, FL 33065-2409 | 2011-06-15 |
| 1609173764 | Jose Ramon Dominguez | Counselor | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2011-02-24 |
| 1992838304 | Jose Dumergue Dominguez | Dentist | 3 Sw 129th Ave, Suite 210, Pembroke Pines, FL 33027-1775 | 2007-03-14 |
| 1861583312 | Jose A Dominguez | Physical Therapist | 6375 Mercury Drive, Suite 100, Mechanicsburg, PA 17050 | 2006-09-28 |
| 1023046653 | Jose C Dominguez Sr. | Specialist | 4600 N Habana Ave, Ste. 20, Tampa, FL 33614-7166 | 2006-06-30 |
| 1295773927 | Jose M Dominguez | Surgery | 1001 E Primrose St, Springfield, MO 65807-5155 | 2006-06-03 |
| Street Address |
22 OLD CANAL DR |
| City | LOWELL |
| State | MA |
| Zip Code | 01851-2730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730339045 | Martha Sue Root | Nurse Practitioner | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2008-09-23 |
| 1093315483 | Ginta Bistras | Counselor | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-10-27 |
| 1689281354 | Christine Carr | Social Worker | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-09-28 |
| 1679188353 | Lindsey Burgess | Counselor | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-09-10 |
| 1952913535 | Jacquelynn Rodriguez | Case Manager/Care Coordinator | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-08-17 |
| 1902415250 | Sofia Shahid | Counselor | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-07-23 |
| 1790301844 | Dereck Ceurvels I | Counselor | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-06-24 |
| 1235750407 | Emily Fischofer | Community Health Worker | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-04-29 |
| 1659904787 | Michael Gorman | Counselor | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-02-18 |
| 1629618764 | Paul Rith Som | Counselor | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508340233 | Tara D Gabriel | Social Worker | 130 Pine Street, Lowell, MA 01851 | 2018-09-19 |
| 1699257022 | Jennifer Walsh Favreau | Social Worker | 740 Princeton Blvd. Apt. 22, Lowell, MA 01851 | 2018-09-01 |
| 1366951022 | Natalie V Lopez | Counselor | 507 Redwood Ln, Lowell, MA 01851 | 2017-09-26 |
| 1962929877 | Dependable Transportation Inc. | Non-emergency Medical Transport (VAN) | 45 Pratt Ave, Unit 4, Lowell, MA 01851 | 2017-08-23 |
| 1053851733 | Excel Dental, P.C. | Dentist | 158 Wood Street, Unit 3, Lowell, MA 01851 | 2017-03-01 |
| 1982067468 | Vishal Sohal | Dentist | 26 Wood St, Dental Dreams, Lowell, MA 01851 | 2016-04-01 |
| 1689067407 | Craig David Milliken | Social Worker | 319 Wilder Street, Lowell, MA 01851 | 2015-03-18 |
| 1063801413 | Michael Bobola | Counselor | 22 Old Canal Drrive, Lowell, MA 01851 | 2015-01-22 |
| 1124422944 | Greater Lowell Private Nursing Services and Education | Home Health | 963 Chelmsford Street, Lowell, MA 01851 | 2014-10-22 |
| 1669886602 | Chitrang B. Patel | Dentist | 158 Wood St Unit 3, Lowell, MA 01851 | 2014-06-18 |
| Find all providers in zip 01851 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003110990 | Andrew Keodara Phomthavong | Counselor | 298 Walker Street, Lowell, MA 01851 | 2011-01-06 |
| 1477867075 | Adam Jacob Martin | Counselor | 2118 Sandpiper Ave, Lowell, AR 72745-8673 | 2010-08-06 |
| 1235301227 | Teresa Raper Collins | Counselor | 2012 Alton Ct, Lowell, NC 28098-2205 | 2008-03-31 |
| 1902096498 | Ryan M Frederick | Counselor | 515 Enterprise Dr 300, Lowell, AR 72745-8982 | 2007-07-31 |
| 1386653723 | Amy Michelle Adams | Counselor | 821 Paradise Pl, Lowell, AR 72745-9312 | 2006-08-05 |
| 1528001955 | Susan Denise Walker | Counselor | 322d N Bloomington St, Lowell, AR 72745-9136 | 2006-06-14 |
| 1902410038 | Giovana Sacchetto Lippi | Counselor | 77 E Merrimack St, Lowell, MA 01852-1251 | 2020-09-04 |
| 1356976286 | Lee Weeks | Counselor | 11630 Fulton St E, Lowell, MI 49331-9426 | 2020-03-11 |
| 1902454143 | Laken Rachelle Colby | Counselor | 11652 W Grand River Ave, Lowell, MI 49331-8465 | 2019-08-30 |
| 1720635469 | Kristin Lothschutz | Counselor | 11650 Downes St Ne, Lowell, MI 49331-9489 | 2019-08-19 |
| Find all providers in LOWELL | ||||
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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.