DOMINIKA SWISTUN
NPI 1669875373
Psychologist - Clinical in Murray, UT

Active since October 08, 2014PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
5965 S 900 E, MURRAY, UT 84121(801) 263-7138 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 31, 2022, Sep 3, 2019 (2 updates tracked since 2019).

About Dominika Swistun NPPES

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

DOMINIKA SWISTUN (NPI 1669875373) is an individual clinical provider in Murray, Utah, licensed in California (30984) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in La Jolla, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1669875373
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDOMINIKA SWISTUN
Location Address5965 S 900 EMurray, UT 84121-1720
Mailing Address9850 Genesee Ave Ste 130La Jolla, CA 92037-1206 · (312) 375-1827
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 8, 2014
Last NPPES UpdateOctober 31, 20222 updates tracked since enumeration
NPPES CertifiedOctober 31, 2022
NPI 1669875373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · 30984
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedCounselorTaxonomy 101Y00000X
5965 S 900 E, Murray, UT 84121

Secondary Practice Location 1

Location 19850 Genesee Ave Ste 130LA Jolla, CA 92037-1206 · Phone (312) 375-1827

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dominika Swistun is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709116908
PECOS Enrollment IDI20191002000622
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
2,857 services389 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
450 services439 patients
Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
23 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84121 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.03 typical visit price
range $54.34 – $166.03
Typical copayment $41.50 (range $13.58 – $41.50)
Most-billed visit code 99205
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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.

Licensed Practical Nurse
5965 S 900 E
SALT LAKE CITY, UT 84121
Community Health Worker
5965 S 900 E
SALT LAKE CITY, UT 84121
Counselor
5965 S 900 E
SALT LAKE CITY, UT 84121
Counselor
5965 S 900 E
SALT LAKE CITY, UT 84121
Licensed Practical Nurse
5965 S 900 E
SALT LAKE CITY, UT 84121
Registered Nurse
5965 S 900 E
SALT LAKE CITY, UT 84121
Counselor
5965 S 900 E
MURRAY, UT 84121
Counselor
5965 S 900 E
MURRAY, UT 84121

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 Dominika Swistun's NPI number?

The NPI number for Dominika Swistun is 1669875373. It was assigned to this individual provider in the NPPES registry on October 8, 2014.

Where is Dominika Swistun located?

Dominika Swistun practices at 5965 S 900 E, Murray, UT 84121. The listed phone number is (801) 263-7138.

What is Dominika Swistun's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Dominika Swistun enrolled in Medicare?

Yes. Dominika Swistun is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Dominika Swistun was last updated on October 31, 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.