Dr Cecilia M Dominguez, PSYD - Medicare Psychologist in Vancouver, WA

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Dr Cecilia M Dominguez, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Vancouver, Washington. She graduated from medical school in 2011 and has 15 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Legacy Good Samaritan Hospital And Medical Center, Legacy Salmon Creek Hospital and her current practice location is 2101 Ne 139th St Ste 265, Vancouver, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 487-2700.

Dr Cecilia M Dominguez is licensed to practice in Washington (license number PY60666459) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174764732.

Contact Information

Dr Cecilia M Dominguez, PSYD
2101 Ne 139th St Ste 265,
Vancouver, WA 98686-2311
(360) 487-2700
(360) 487-2701

Map and Direction




Healthcare Provider's Profile

Full NameDr Cecilia M Dominguez
GenderFemale
SpecialityClinical Psychologist
Experience15 Years
Location2101 Ne 139th St Ste 265, Vancouver, Washington
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Cecilia M Dominguez graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1174764732
  • Provider Enumeration Date: 03/11/2009
  • Last Update Date: 09/29/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 8123396330
  • Enrollment ID: I20170717002796

Medical Identifiers

Medical identifiers for Dr Cecilia M Dominguez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174764732NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 2673 (Oregon)Secondary
103TC0700XPsychologist - Clinical PY60666459 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Legacy Good Samaritan Medical CenterPortland, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Legacy Good Samaritan Hospital And Medical Center0547179939190
Legacy Salmon Creek Hospital0446295711309

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Cecilia M Dominguez allows following entities to bill medicare on her behalf.
Entity NameLegacy Good Samaritan Hospital and Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780608216
PECOS PAC ID: 0547179939
Enrollment ID: O20031125000416

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Cecilia M Dominguez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Cecilia M Dominguez, PSYD
2209 E 2nd St Apt 6,
Los Angeles, CA 90033-3960

Ph: (415) 515-7364		Dr Cecilia M Dominguez, PSYD
2101 Ne 139th St Ste 265,
Vancouver, WA 98686-2311

Ph: (360) 487-2700

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.