DR. DOMINIC PHILIP TANNOIA PHD
NPI 1164045183
Psychologist in Washington, DC

Active since May 26, 2020Opted out of Medicare · through Dec 28, 2027
5225 WISCONSIN AVE NW, WASHINGTON, DC 20015(202) 363-1010 Get Directions Write a Review

NPPES record last updated: December 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2021, May 26, 2020 (2 updates tracked since 2020).

About Dr. Dominic Philip Tannoia Phd NPPES

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

DR. DOMINIC PHILIP TANNOIA PHD (NPI 1164045183) is an individual psychologist in Washington, District Of Columbia, licensed in Maryland (06643) and active in the NPI registry since May 2020. He has opted out of Medicare through December 28, 2027 and maintains a secondary practice location in Vienna.

NPPES Registry Identity

NPI1164045183
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. DOMINIC PHILIP TANNOIACredential: PHD
Location Address5225 WISCONSIN AVE NWWashington, DC 20015-2014
Mailing Address3302 Lancer PlHyattsville, MD 20782-3153 · (207) 749-5666
Sole ProprietorNo
Enumeration DateMay 26, 2020
Last NPPES UpdateDecember 28, 20232 updates tracked since enumeration
NPPES CertifiedDecember 28, 2023
NPI 1164045183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MD · 06643
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
5225 WISCONSIN AVE NW, Washington, DC 20015

Secondary Practice Location 1

Location 11595 Spring Hill Rd Ste 520Vienna, VA 22182-4101 · Phone (703) 687-6610

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Dominic Philip Tannoia Phd 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 December 28, 2023 through December 28, 2027.

Opt-Out Effective DateDecember 28, 2023
Opt-Out In Effect ThroughDecember 28, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
5225 WISCONSIN AVE NW, SUITE 513
WASHINGTON, DC 20015
Dentist
5225 WISCONSIN AVE NW, SUITE 309
WASHINGTON, DC 20015
Dental Hygienist
5225 WISCONSIN AVE NW, SUITE 401
WASHINGTON, DC 20015
Dentist (Pediatric Dentistry)
5225 WISCONSIN AVE NW, SUITE 604
WASHINGTON, DC 20015
Psychiatry & Neurology (Child & Adolescent Psychiatry)
5225 WISCONSIN AVE NW, STE 400
WASHINGTON, DC 20015
Psychologist (Forensic)
5225 WISCONSIN AVE NW, SUITE 513
WASHINGTON, DC 20015
Psychiatry & Neurology (Psychiatry)
5225 WISCONSIN AVE NW
WASHINGTON, DC 20015
Internal Medicine
5225 WISCONSIN AVE NW, SUITE 401
WASHINGTON, DC 20015

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominic Tannoia's NPI number?

The NPI number for Dominic Tannoia is 1164045183. It was assigned to this individual provider in the NPPES registry on May 26, 2020.

Where is Dominic Tannoia located?

Dominic Tannoia practices at 5225 Wisconsin Ave NW, Washington, DC 20015. The listed phone number is (202) 363-1010.

What is Dominic Tannoia's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Dominic Tannoia enrolled in Medicare?

No. Dominic Tannoia has opted out of Medicare through December 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Dominic Tannoia was last updated on December 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.