DOMINIQUE L GIST
NPI 1629674742
Psychiatric Residential Treatment Facility in Goodyear, AZ

Active since December 05, 2020
8674 S 165TH AVE, GOODYEAR, AZ 85338(313) 434-6821 Get Directions Write a Review

NPPES record last updated: December 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dominique L Gist NPPES

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

DOMINIQUE L GIST (NPI 1629674742) is an individual psychiatric residential treatment facility provider in Goodyear, Arizona and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1629674742
Entity TypeIndividualFemale
Primary Taxonomy323P00000X
Provider Legal NameDOMINIQUE L GIST
Location Address8674 S 165TH AVEGoodyear, AZ 85338-1447
Mailing Address11213 W Ivory LnAvondale, AZ 85392-3916 · (313) 434-6821
Sole ProprietorYes
Enumeration DateDecember 5, 2020
NPPES CertifiedDecember 5, 2020
NPI 1629674742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
8674 S 165TH AVE, Goodyear, AZ 85338

Other Providers at the Same Location NPPES

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

Psychiatric Residential Treatment Facility
8674 S 165TH AVE
GOODYEAR, AZ 85338

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 Dominique Gist's NPI number?

The NPI number for Dominique Gist is 1629674742. It was assigned to this individual provider in the NPPES registry on December 5, 2020.

Where is Dominique Gist located?

Dominique Gist practices at 8674 S 165th Ave, Goodyear, AZ 85338. The listed phone number is (313) 434-6821.

What is Dominique Gist's specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

When was this NPI record last updated?

The NPPES record for Dominique Gist was last updated on December 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.