Damon M Dotter
Community/Behavioral Health in Scranton, PA. Individual provider (NPI-1).
NPI number1407736598
StatusActive
Last updated in NPPESSep 8, 2025
Details
- NPI
- 1407736598
- Entity type
- Individual (NPI-1)
- Name
- Damon M Dotter
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 8, 2025
- Certification date
- Sep 8, 2025
- Last updated
- Sep 8, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- 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 |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
116 Larch StScranton, PA 18509-2802
Phone 570-489-5561
Mailing address
813 Madison AveScranton, PA 18510-1043
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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All 25 Community/Behavioral Health Agency providers in Scranton · All 3,252 providers in Scranton
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