KELLI DOMINICK (NPI# 1659661742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659661742 |
Entity Type | Individual |
Full Name | KELLI DOMINICK |
Credential | M.D. |
Practice Address |
3333 Burnet Ave Ml 3014 Cincinnati OH 45229-3026 |
Practice Telephone | 5136364788 |
Practice Fax Number | 5136364283 |
Mailing Telephone | 5136364788 |
Mailing Fax Number | 5136364283 |
Enumeration Date | 2011-04-11 |
Last Update Date | 2016-09-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
35.126366 | OH | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346555703 | Kelli Dominick | Nutritionist | 712 S Cypress St, Vivian, LA 71082-3206 | 2010-08-10 |
Street Address |
3333 BURNET AVE ML 3014 |
City | CINCINNATI |
State | OH |
Zip Code | 45229-3026 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851394019 | Christine E Fuller | Pathology | 3333 Burnet Ave, Ml 1035, Cincinnati, OH 45229-3026 | 2005-05-23 |
1578170288 | Allison Rae Adams | Student in an Organized Health Care Education/Training Program | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2020-09-26 |
1356957898 | Erika Michelle Chiodi | Counselor | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2020-09-21 |
1275149189 | Sara Catherine Hook | Student in an Organized Health Care Education/Training Program | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2020-09-17 |
1518573419 | David Scott Winlaw | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2020-09-17 |
1700490752 | Sharmila R Ballal | Student in an Organized Health Care Education/Training Program | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2020-09-06 |
1427668912 | Elizabeth Ditch | Optometrist | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2020-08-09 |
1225648181 | Christina Mary Anna Doukas | Student in an Organized Health Care Education/Training Program | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2020-08-05 |
1881203297 | Samantha Strain | Student in an Organized Health Care Education/Training Program | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2020-07-31 |
1528677176 | Kelly Ann Sitterle | Nurse Practitioner | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2020-07-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992325567 | The Kroger Co | Pharmacy | 3255 Eden Ave, Suite 336, Cincinnati, OH 45229 | 2020-04-23 |
1942834916 | Abigail Elizabeth Ugas | Genetic Counselor, MS | 3333 Burnet Ave., Ml 4006, Cincinnati, OH 45229 | 2020-02-27 |
1477112308 | City of Cincinnati | Pharmacy | 3559 Reading Road, Suite 101, Cincinnati, OH 45229 | 2019-06-13 |
1720548134 | Luis Andres Compres Brugal | Student in an Organized Health Care Education/Training Program | Uc Health Neurology 3113 Bellevue Avenue, Cincinnati, OH 45229 | 2019-03-21 |
1457816118 | Linda Sue Hughes | Counselor | 4531 Reading Road, Cincinnati, OH 45229 | 2019-02-07 |
1437654902 | Dimpal Patel | Physician Assistant | 3333 Burnet Ave # Mlc2004, Cincinnati, OH 45229 | 2018-03-27 |
1235657909 | Shauntel Stewart | Nurse's Aide | 4439 Reading Rd Ste 101, Cincinnati, OH 45229 | 2017-09-01 |
1336662055 | Diane Davis | Home Health Aide | 768 East Mitchell Ave, Cincinnati, OH 45229 | 2017-07-25 |
1265971683 | Lauren Michelle Schmitt | Psychologist | 3333 Burnet Ave., Ml 4002, Cincinnati, OH 45229 | 2017-02-17 |
1801257308 | Monica Renee Whitehead | Psychologist | Cincinnati Children's Hospital, 3333 Burnet Avenue, Ml 3015, Cincinnati, OH 45229 | 2016-03-10 |
Find all providers in zip 45229 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285714741 | Drew H Barzman | Psychiatry & Neurology | 3333 Burnet Ave Ml 3014, Cincinnati, OH 45229-3026 | 2006-10-17 |
1841244084 | Carla J Branson | Psychiatry & Neurology | 3333 Burnett Ave., Cincinnati Childrens Hospital Credentialing, Cincinnati, OH 45229 | 2006-05-20 |
1568420503 | Stephen Craig Beck | Psychiatry & Neurology | 1410 Springfield Pike, Apt 62d, Cincinnati, OH 45215-2156 | 2006-05-01 |
1881122729 | Samuel T. Robertson M. D. Inc. | Psychiatry & Neurology | 333 Lafayette Ave, Cincinnati, OH 45220-1122 | 2017-05-23 |
1528593290 | Carina E. Behrens, M.d., LLC | Psychiatry & Neurology | 3001 Highland Ave, Suite D, Cincinnati, OH 45219-2315 | 2017-05-01 |
1285020230 | Aaron Lee | Psychiatry & Neurology | 3333 Burnett Ave, Mlc 6015, Cincinnati, OH 45229 | 2015-04-07 |
1982044335 | Ankita Zutshi | Psychiatry & Neurology | 3333 Burnet Ave, Ml 6015, Cincinnati, OH 45229-3026 | 2013-06-30 |
1588008841 | Martine Lamy | Psychiatry & Neurology | 3333 Burnet Ave, Mlc 6015, Cincinnati, OH 45229 | 2013-04-17 |
1780923169 | Luis Rodrigo Patino Duran | Psychiatry & Neurology | 260 Stetson St, Suite 3200, Cincinnati, OH 45219-2498 | 2013-02-05 |
1093076853 | Sophianne Divya Morgan | Psychiatry & Neurology | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2012-06-07 |
Find all providers in CINCINNATI |
City | CINCINNATI |
Zip Code | 45229 |
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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.