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YURIKO DOMYO
NPI 1073963823
Marriage & Family Therapist in Oakland, CA

Active since June 13, 2016Opted out of Medicare · through Aug 1, 2026
PO BOX 11556, OAKLAND, CA 94611(510) 646-1267 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 12, 2025, Feb 10, 2017, Jun 13, 2016 (3 updates tracked since 2016).

About Yuriko Domyo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YURIKO DOMYO (NPI 1073963823) is an individual marriage & family therapist in Oakland, California, licensed in California (116772) and active in the NPI registry since June 2016. She has opted out of Medicare through August 1, 2026.

NPPES Registry Identity

NPI1073963823
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameYURIKO DOMYO
Location AddressPO BOX 11556Oakland, CA 94611-0556
Mailing AddressPo Box 11556Oakland, CA 94611-0556
Phone(510) 646-1267
Sole ProprietorNo
Enumeration DateJune 13, 2016
Last NPPES UpdateNovember 12, 20253 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
✔ NPI 1073963823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 116772
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

PO BOX 11556, Oakland, CA 94611
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Yuriko Domyo has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 1, 2024 through August 1, 2026.

Opt-Out Effective DateAugust 1, 2024
Opt-Out In Effect ThroughAugust 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions

What is Yuriko Domyo's NPI number?

The NPI number assigned to this healthcare provider is 1073963823, enumerated as an "individual" on June 13, 2016.

Where is the provider located?

The provider is located at PO BOX 11556 OAKLAND, CA 94611 and the phone number is (510) 646-1267.

What is the provider's specialty?

Marriage & Family Therapist with taxonomy code 106H00000X.