RAVEN DOMINGUEZ M.A., TLLP
NPI 1629770185
Psychologist in Troy, MI

Active since March 20, 2023
1257 KIRTS BLVD APT 218, TROY, MI 48084(248) 787-2173 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Raven Dominguez M.a., Tllp NPPES

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

RAVEN DOMINGUEZ M.A., TLLP (NPI 1629770185) is an individual psychologist in Troy, Michigan, licensed in Michigan (6352000746) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1629770185
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameRAVEN DOMINGUEZCredential: M.A., TLLP
Location Address1257 KIRTS BLVD APT 218Troy, MI 48084-4833
Mailing Address1257 Kirts Blvd Apt 218Troy, MI 48084-4833 · (248) 787-2173
Sole ProprietorYes
Enumeration DateMarch 20, 2023
NPPES CertifiedMarch 20, 2023
NPI 1629770185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MI · 6352000746
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

1257 KIRTS BLVD APT 218, Troy, MI 48084

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Raven Dominguez's NPI number?

The NPI number for Raven Dominguez is 1629770185. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Raven Dominguez located?

Raven Dominguez practices at 1257 Kirts Blvd Apt 218, Troy, MI 48084. The listed phone number is (248) 787-2173.

What is Raven Dominguez's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Raven Dominguez was last updated on March 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.