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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. CECILIA M DOMINGUEZ PSY.D
NPI 1174764732
Psychologist - Clinical in Vancouver, WA

Active since March 11, 2009PECOS EnrolledAccepts Medicare Assignment
88.67/100
CMS Quality Rating
2101 NE 139TH ST STE 265, VANCOUVER, WA 98686(360) 487-2700(360) 487-2701 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 29, 2026, May 15, 2019, Jun 20, 2018 (3 updates tracked since 2018).

About Dr. Cecilia M Dominguez Psy.d NPPES

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

DR. CECILIA M DOMINGUEZ PSY.D (NPI 1174764732) is an individual clinical provider in Vancouver, Washington, licensed in Washington (PY60666459) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS, is affiliated with Legacy Good Samaritan Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1174764732
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CECILIA M DOMINGUEZCredential: PSY.D
Location Address2101 NE 139TH ST STE 265Vancouver, WA 98686-2311
Mailing Address2209 E 2nd St Apt 6Los Angeles, CA 90033-3960 · (415) 515-7364
Phone(360) 487-2700
Fax(360) 487-2701
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 11, 2009
Last NPPES UpdateSeptember 29, 20263 updates tracked since enumeration
✔ NPI 1174764732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in WA · PY60666459✔ Licensed in OR · 2673
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2101 NE 139TH ST STE 265, Vancouver, WA 98686
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Cecilia M Dominguez Psy.d 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 ID8123396330
PECOS Enrollment IDI20170612002757, I20170717002796
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Cecilia Dominguez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Legacy Salmon Creek Hospital
0.1 mi
Clinic/Center
2211 NE 139TH ST
Vancouver, WA 98686
  • Reassigned Medicare billing, Washington enrollment
  • 754 clinicians in this Medicare group
NPI 1356357784 (360) 487-2878
Legacy Good Samaritan Hospital And Medical Center
13 mi
Clinic/Center
1200 NW 23RD AVE
Portland, OR 97210
  • Reassigned Medicare billing, Oregon enrollment
  • 387 clinicians in this Medicare group
NPI 1679597108 (503) 413-7074

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Treatment of behavior impacting health, initial 30 minutes 96158
This service involves a healthcare professional working with you for 30 minutes to address behaviors that are negatively affecting your health. They will help you understand and modify these behaviors, improving your overall well-being.
38 services15 patients
Assessment of health behavior 96156
Assessment of health behavior is a process where your daily habits and lifestyle choices are evaluated. This includes your diet, exercise, sleep patterns, and stress management. The goal is to identify areas for improvement and develop strategies for healthier habits.
28 services28 patients
Assessment of health behavior 96156
Assessment of health behavior is a process where your daily habits and lifestyle choices are evaluated. This includes your diet, exercise, sleep patterns, and stress management. The goal is to identify areas for improvement and develop strategies for healthier habits.
27 services27 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Legacy Good Samaritan Medical Center

Acute Care Hospitals · Portland, OR
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380017
Location1015 NW 22nd Avenue, W121Portland, OR 97210 · Multnomah County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98686 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
$172.80 typical visit price
range $57.27 – $172.80
Typical copayment $43.20 (range $14.31 – $43.20)
Most-billed visit code 99205
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.54
Promoting Interoperability100
Improvement Activities40
Cost70.7

Other Providers at the Same Location NPPES 3

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

ASHLEY THOMAS APRN-CNS
Clinical Nurse Specialist
2101 NE 139TH ST STE 265
VANCOUVER, WA 98686
Clark County (360) 487-2700
ADVANCED GASTROENTEROLOGY, PC
Specialist
2101 NE 139TH ST STE 265
VANCOUVER, WA 98686
Clark County (360) 576-5060
MS. LEE SLAUGHTER
Physical Therapist
2101 NE 139TH ST STE 265
VANCOUVER, WA 98686
Clark County (360) 487-2700

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 Cecilia Dominguez's NPI number?

The NPI number for Cecilia Dominguez is 1174764732. It was assigned to this individual provider in the NPPES registry on March 11, 2009.

Where is Cecilia Dominguez located?

Cecilia Dominguez practices at 2101 NE 139th St Ste 265, Vancouver, WA 98686. The listed phone number is (360) 487-2700.

What is Cecilia Dominguez's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Cecilia Dominguez enrolled in Medicare?

Yes. Cecilia Dominguez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Cecilia Dominguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cecilia Dominguez reassigns Medicare benefits to 2 organizations: Legacy Salmon Creek Hospital (Vancouver, WA) and Legacy Good Samaritan Hospital And Medical Center (Portland, OR). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cecilia Dominguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cecilia Dominguez accept?

Health plans from Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Cecilia Dominguez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Cecilia Dominguez affiliated with any hospitals?

According to CMS data, Cecilia Dominguez is affiliated with Legacy Good Samaritan Medical Center.

When was this NPI record last updated?

The NPPES record for Cecilia Dominguez was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.