DOMINIC ANTHONY DAMBROSIO
NPI 1609533744
Marriage & Family Therapist in Lafayette, CA

Q: What is Dominic Dambrosio's NPI number?

The NPI number for Dominic Dambrosio is 1609533744. It was assigned to this individual provider in the NPPES registry on November 23, 2021.

Q: What is Dominic Dambrosio's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Dominic Dambrosio enrolled in Medicare?

No. Dominic Dambrosio has opted out of Medicare through August 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Dominic Dambrosio was last updated on November 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 23, 2021Opted out of Medicare · through Aug 12, 2028

954 RISA RD STE A, LAFAYETTE, CA 94549(925) 284-1898 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dominic Anthony Dambrosio NPPES

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

DOMINIC ANTHONY DAMBROSIO (NPI 1609533744) is an individual marriage & family therapist in Lafayette, California, licensed in California (27758) and active in the NPI registry since November 2021. He has opted out of Medicare through August 12, 2028.

NPPES Registry Identity

NPI1609533744

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameDOMINIC ANTHONY DAMBROSIO

Location Address954 RISA RD STE ALafayette, CA 94549-3418

Mailing Address954 Risa Rd Ste ALafayette, CA 94549-3418 · (925) 284-1898

Phone(925) 284-1898

Sole ProprietorYes

Enumeration DateNovember 23, 2021

NPPES CertifiedNovember 23, 2021

✔ NPI 1609533744 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 · 27758

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.

954 RISA RD STE A, Lafayette, CA 94549

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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

Dominic Anthony Dambrosio 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 12, 2024 through August 12, 2028.

Opt-Out Effective DateAugust 12, 2024

Opt-Out In Effect ThroughAugust 12, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 11

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

LISA M LEWIS MA

Marriage & Family Therapist