IndividualActive
Mirjana Domakonda, MD
NPI 1275853178 · Child & Adolescent Psychiatry Physician · Hartford, CT
Provider details
- NPI number
- 1275853178
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 244741 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(92/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
200 Retreat Ave
Hartford, CT 06106-3309
Phone: (860) 545-7493
Street-level locationGet directions
Mailing address
200 Retreat Ave
Hartford, CT 06106-3309
Additional practice locations (2)
- 282 Washington StHartford, CT 06106-3322Phone: (860) 545-9200Fax: (860) 545-9202
- 1320 York Ave25jNew York, NY 10021-4800Phone: (973) 750-8346
Registry dates
- Enumerated
- 2010-06-03
- Last updated
- 2022-09-09
- Certified
- 2022-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.