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DR. PETER DEDOMINICI LSW
NPI 1649923442
Counselor - Mental Health in Fairborn, OH

Active since February 01, 2022
188 W HEBBLE AVE, FAIRBORN, OH 45324(937) 754-5911(999) 999-9999 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 22, 2023, Feb 9, 2022, Feb 1, 2022 (3 updates tracked since 2022).

About Dr. Peter Dedominici Lsw NPPES

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

DR. PETER DEDOMINICI LSW (NPI 1649923442) is an individual mental health provider in Fairborn, Ohio and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1649923442
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDR. PETER DEDOMINICICredential: LSW
Location Address188 W HEBBLE AVEFairborn, OH 45324-4960
Mailing AddressPo Box 3095Dublin, OH 43016-0046 · (937) 754-5911 · Fax (999) 999-9999
Phone(937) 754-5911
Fax(999) 999-9999
Sole ProprietorYes
Enumeration DateFebruary 1, 2022
Last NPPES UpdateFebruary 22, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2023
✔ NPI 1649923442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedSocial WorkerTaxonomy 104100000X · License S0029122 (OH)
188 W HEBBLE AVE, Fairborn, OH 45324
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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.

MR. CORNEILUS HOOKFIN SR.
Case Manager/Care Coordinator
188 W HEBBLE AVE
FAIRBORN, OH 45324
Greene County (937) 346-6055
MR. BRANDON MCVEY
Case Manager/Care Coordinator
188 W HEBBLE AVE
FAIRBORN, OH 45324
Greene County (937) 791-1427
JASON D MILLER
Case Management
188 W HEBBLE AVE
FAIRBORN, OH 45324
Greene County (937) 450-7099
MELODY C MITCHELL
Case Manager/Care Coordinator
188 W HEBBLE AVE
FAIRBORN, OH 45324
Greene County (937) 754-5911
KIERRA TAYLOR MSW
Case Manager/Care Coordinator
188 W HEBBLE AVE
FAIRBORN, OH 45324
Greene County (937) 754-5911
CHARLES ROBERT WICK
Case Manager/Care Coordinator
188 W HEBBLE AVE
FAIRBORN, OH 45324
Greene County (937) 226-9787
CODY WRIGHT
Case Manager/Care Coordinator
188 W HEBBLE AVE
FAIRBORN, OH 45324
Greene County (937) 754-5911
PAUL MILLER
Case Manager/Care Coordinator
188 W HEBBLE AVE
FAIRBORN, OH 45324
Greene County (937) 831-1468

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 Peter Dedominici's NPI number?

The NPI number for Peter Dedominici is 1649923442. It was assigned to this individual provider in the NPPES registry on February 1, 2022.

Where is Peter Dedominici located?

Peter Dedominici practices at 188 W Hebble Ave, Fairborn, OH 45324. The listed phone number is (937) 754-5911.

What is Peter Dedominici's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Peter Dedominici was last updated on February 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.