Susan Dominguez, PSY24264
NPI 1477709483 · Intellectual & Developmental Disabilities Psychologist · Berkeley, CA
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Susan Dominguez, PSY24264 is a Intellectual & Developmental Disabilities Psychologist provider in Berkeley, CA (NPI 1477709483).
Provider details
- NPI number
- 1477709483
- Entity type
- Individual
- Primary specialty
- Intellectual & Developmental Disabilities PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY24264
- Sex
- Female
- Sole proprietor
- Yes
- License
- PSY24264 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Mailing address
Registry dates
- Enumerated
- 2008-08-09
- Last updated
- 2026-02-04
- Certified
- 2026-02-04
Frequently asked questions
- What is Susan Dominguez's NPI number?
- Susan Dominguez's National Provider Identifier (NPI) is 1477709483, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Susan Dominguez's specialty?
- Susan Dominguez is listed in the NPPES registry with a primary specialty of Intellectual & Developmental Disabilities Psychologist (Behavioral Health & Social Service Providers).
- Where is Susan Dominguez located?
- Susan Dominguez's practice location on file with NPPES is 3200 Adeline St, Berkeley, CA 94703-2407.
- What is Susan Dominguez's phone number?
- The practice phone number listed in the NPPES registry for Susan Dominguez is (510) 601-0203.
- Does Susan Dominguez accept Medicare?
- Susan Dominguez is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Susan Dominguez's NPI active?
- Yes — Susan Dominguez's NPI (1477709483) is active in the NPPES registry as of the last update on 2026-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.