DR. TARA LYNN RYAN-DEDOMINICIS
NPI 1164192001
Social Worker - Clinical in Bridgeport, CT

Q: What is Tara Ryan-dedominicis's NPI number?

The NPI number for Tara Ryan-dedominicis is 1164192001. It was assigned to this individual provider in the NPPES registry on September 13, 2021.

Q: What is Tara Ryan-dedominicis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since September 13, 2021PECOS EnrolledAccepts Medicare Assignment

982 E MAIN ST, BRIDGEPORT, CT 06608(203) 696-3260 Get Directions Write a Review

NPPES record last updated: September 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Tara Lynn Ryan-dedominicis NPPES

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

DR. TARA LYNN RYAN-DEDOMINICIS (NPI 1164192001) is an individual clinical provider in Bridgeport, Connecticut, licensed in Connecticut (011683) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Basking Ridge, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1164192001

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameDR. TARA LYNN RYAN-DEDOMINICIS

Location Address982 E MAIN STBridgeport, CT 06608-1913

Mailing Address982 E Main StBridgeport, CT 06608-1913 · (203) 696-3260

Phone(203) 696-3260

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 13, 2021

NPPES CertifiedSeptember 13, 2021

✔ NPI 1164192001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in CT · 011683

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

982 E MAIN ST, Bridgeport, CT 06608

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Secondary Practice Location 1

Location 133 Overlook AveBasking Ridge, NJ 07920-2660 · Phone (908) 334-6103

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Tara Lynn Ryan-dedominicis is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880092501

PECOS Enrollment IDI20211011002994

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06608 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $60.82 – $183.10

Typical copayment $0.00 (range $15.20 – $45.77)

Most-billed visit code NA

Established Patient

$75.55 typical visit price

range $19.76 – $149.26

Typical copayment $18.88 (range $4.94 – $37.31)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

GIULIANA NOVOA-ORDONEZ DDS

Dentist (General Practice)