MIRJANA J DOMAKONDA MD
NPI 1275853178
Psychiatry & Neurology - Child & Adolescent Psychiatry in Hartford, CT
About Mirjana J Domakonda Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIRJANA J DOMAKONDA MD (NPI 1275853178) is an individual child & adolescent psychiatry provider in Hartford, Connecticut, licensed in Connecticut (055758) and active in the NPI registry since June 2010. She maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
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.
HARTFORD, CT 06106
HARTFORD, CT 06106
HARTFORD, CT 06106
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 Mirjana Domakonda's NPI number?
The NPI number for Mirjana Domakonda is 1275853178. It was assigned to this individual provider in the NPPES registry on June 3, 2010.
Where is Mirjana Domakonda located?
Mirjana Domakonda practices at 200 Retreat Ave, Hartford, CT 06106. The listed phone number is (860) 545-7493.
What is Mirjana Domakonda's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
What insurance does Mirjana Domakonda accept?
Health plans from Providence Health Plan list Mirjana Domakonda 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.
When was this NPI record last updated?
The NPPES record for Mirjana Domakonda was last updated on September 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Mirjana J Domakonda, MD · NPI 1275853178
Child & Adolescent Psychiatry physician in Hartford, Connecticut. Individual provider, active in the CMS NPPES registry since June 3, 2010.
## Identity
- **NPI:** 1275853178 (Entity type: Individual)
- **Enumerated:** June 3, 2010
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** 055758 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 RETREAT AVE, Hartford, CT 06106-3309
- **Phone:** (860) 545-7493
## Record status
- **NPPES last updated:** September 9, 2022
- **Other identifiers:** Medicaid 1275853178 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1275853178) · Data from the CMS NPPES public registry.