DR. DOMINIC RICHARD PRIME PHD
NPI 1972027852
Psychologist in Sherwood, OR
About Dr. Dominic Richard Prime Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DOMINIC RICHARD PRIME PHD (NPI 1972027852) is an individual psychologist in Sherwood, Oregon, licensed in California (30305) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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. Dominic Richard Prime Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Dominic Prime's NPI number?
The NPI number for Dominic Prime is 1972027852. It was assigned to this individual provider in the NPPES registry on August 1, 2017.
Where is Dominic Prime located?
Dominic Prime practices at 16770 SW Edy Rd Ste 102, Sherwood, OR 97140. The listed phone number is (503) 216-9600.
What is Dominic Prime's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Dominic Prime enrolled in Medicare?
Yes. Dominic Prime is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Dominic Prime was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.