ELIZABETH ANNE DOMINGUEZ PHD
NPI 1801149471
Psychologist in Springfield, OR

Active since October 19, 2012PECOS EnrolledAccepts Medicare Assignment
2073 OLYMPIC ST, SPRINGFIELD, OR 97477(541) 682-3550 Get Directions Write a Review

NPPES record last updated: March 7, 2013. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Elizabeth Anne Dominguez Phd NPPES

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

ELIZABETH ANNE DOMINGUEZ PHD (NPI 1801149471) is an individual psychologist in Springfield, Oregon, licensed in Oregon (1910) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1801149471
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameELIZABETH ANNE DOMINGUEZCredential: PHD
Location Address2073 OLYMPIC STSpringfield, OR 97477-3413
Mailing Address2073 Olympic StSpringfield, OR 97477-3413 · (541) 682-3550
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateOctober 19, 2012
Last NPPES UpdateMarch 7, 2013
NPI 1801149471 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 OR · 1910
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.
2073 OLYMPIC ST, Springfield, OR 97477

Accepted Insurance

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

Elizabeth Anne Dominguez Phd 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 ID9537394218
PECOS Enrollment IDI20131105001561
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.

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
2073 OLYMPIC ST
SPRINGFIELD, OR 97477
Registered Nurse (Community Health)
2073 OLYMPIC ST
SPRINGFIELD, OR 97477
Nurse Practitioner (Pediatrics)
2073 OLYMPIC ST
SPRINGFIELD, OR 97477
Student in an Organized Health Care Education/Training Program
2073 OLYMPIC ST
SPRINGFIELD, OR 97477
Dental Hygienist
2073 OLYMPIC ST
SPRINGFIELD, OR 97477
Licensed Practical Nurse
2073 OLYMPIC ST
SPRINGFIELD, OR 97477
Registered Nurse
2073 OLYMPIC ST
SPRINGFIELD, OR 97477
Registered Nurse (Community Health)
2073 OLYMPIC ST
SPRINGFIELD, OR 97477

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 Elizabeth Dominguez's NPI number?

The NPI number for Elizabeth Dominguez is 1801149471. It was assigned to this individual provider in the NPPES registry on October 19, 2012.

Where is Elizabeth Dominguez located?

Elizabeth Dominguez practices at 2073 Olympic St, Springfield, OR 97477. The listed phone number is (541) 682-3550.

What is Elizabeth Dominguez's specialty?

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

Is Elizabeth Dominguez enrolled in Medicare?

Yes. Elizabeth Dominguez 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.

What insurance does Elizabeth Dominguez accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Elizabeth Dominguez 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 Elizabeth Dominguez was last updated on March 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.