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DOMINIQUE COLEMAN ROACH CSAC-T
NPI 1841859733
Counselor - Addiction (Substance Use Disorder) in New York, NY

Active since June 13, 2019
1727 AMSTERDAM AVE, NEW YORK, NY 10031(646) 340-1403(212) 694-4619 Get Directions Write a Review

NPPES record last updated: June 13, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dominique Coleman Roach Csac-t NPPES

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

DOMINIQUE COLEMAN ROACH CSAC-T (NPI 1841859733) is an individual addiction (substance use disorder) provider in New York, New York, licensed in New York (35549) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1841859733
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameDOMINIQUE COLEMAN ROACHCredential: CSAC-T
Location Address1727 AMSTERDAM AVENew York, NY 10031-4611
Mailing Address1727 Amsterdam AveNew York, NY 10031-4611 · (646) 340-1403 · Fax (212) 694-4619
Phone(646) 340-1403
Fax(212) 694-4619
Sole ProprietorNo
Enumeration DateJune 13, 2019
✔ NPI 1841859733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NY · 35549
1727 AMSTERDAM AVE, New York, NY 10031
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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.

MS. PAMELA CATO M.A.
Counselor (Mental Health)
1727 AMSTERDAM AVE
NEW YORK, NY 10031
New York County (212) 694-9200
KAILA WARNER-HAAKMAT
Social Worker
1727 AMSTERDAM AVE
NEW YORK, NY 10031
New York County (646) 296-8890
MARK ROMAN MSW
Social Worker
1727 AMSTERDAM AVE
NEW YORK, NY 10031
New York County (212) 694-9200
MISS FAUSTINA L JORDAN GED
Counselor (Mental Health)
1727 AMSTERDAM AVE
NEW YORK, NY 10031
New York County (212) 694-9200
DOROTHY HALL
Counselor
1727 AMSTERDAM AVE
NEW YORK, NY 10031
New York County (212) 694-9200
MS. TAMAR IZCOVICH
Social Worker
1727 AMSTERDAM AVE
NEW YORK, NY 10031
New York County (212) 694-9200
JOY MERCEDES
Counselor (Mental Health)
1727 AMSTERDAM AVE
NEW YORK, NY 10031
New York County (212) 694-9200
AMAURIS POLANCO
Counselor (Mental Health)
1727 AMSTERDAM AVE
NEW YORK, NY 10031
New York County (212) 694-9200

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 Dominique Roach's NPI number?

The NPI number for Dominique Roach is 1841859733. It was assigned to this individual provider in the NPPES registry on June 13, 2019.

Where is Dominique Roach located?

Dominique Roach practices at 1727 Amsterdam Ave, New York, NY 10031. The listed phone number is (646) 340-1403.

What is Dominique Roach's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Dominique Roach was last updated on June 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.