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DR. KEVIN ANTHONY DOMINGOS PH.D.
NPI 1770662173
Clinical Neuropsychologist in Boston, MA

Active since November 04, 2006PECOS Enrolled
1854 RIVER ST, BOSTON, MA 02136(617) 364-4465(617) 364-5425 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kevin Anthony Domingos Ph.d. NPPES

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

DR. KEVIN ANTHONY DOMINGOS PH.D. (NPI 1770662173) is an individual clinical neuropsychologist in Boston, Massachusetts, licensed in Massachusetts (6878) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770662173
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. KEVIN ANTHONY DOMINGOSCredential: PH.D.
Location Address1854 RIVER STBoston, MA 02136-1419
Mailing Address1854 River StBoston, MA 02136-1419 · (617) 364-4465 · Fax (617) 364-5425
Phone(617) 364-4465
Fax(617) 364-5425
Sole ProprietorYes
Enumeration DateNovember 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1770662173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in MA · 6878
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
1854 RIVER ST, Boston, MA 02136
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Other Identifiers 2

Medicaid0524689MA
Medicare ID-Type UnspecifiedW50026MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin Anthony Domingos Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Kevin Domingos's NPI number?

The NPI number for Kevin Domingos is 1770662173. It was assigned to this individual provider in the NPPES registry on November 4, 2006.

Where is Kevin Domingos located?

Kevin Domingos practices at 1854 River St, Boston, MA 02136. The listed phone number is (617) 364-4465.

What is Kevin Domingos's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Kevin Domingos enrolled in Medicare?

Yes. Kevin Domingos is registered in the Medicare PECOS enrollment system.

What insurance does Kevin Domingos accept?

Health plans from Anthem Blue Cross and Blue Shield list Kevin Domingos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Domingos was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.