George M Dominiak, M.D.
Psychiatry & Neurology, Psychiatry in Cambridge, MA. Individual provider (NPI-1).
NPI number1023065299
StatusActive
Last updated in NPPESDec 5, 2011
Details
- NPI
- 1023065299
- Entity type
- Individual (NPI-1)
- Name
- George M Dominiak
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 31, 2006
- Last updated
- Dec 5, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PSYCHIATRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 71694 | MA | Yes |
Practice location
1493 Cambridge StCambridge, MA 02139-1047
Phone 617-665-1000
Mailing address
1493 Cambridge StCambridge, MA 02139-1047
Phone 617-665-1000
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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