Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Domenica Kathleen Favero

Individual provider Clinical Psychologist · NPI 1588836944

Domenica Kathleen Favero is a Clinical Psychologist in Lynchburg, Virginia. Qualified in 2002, 24 years ago. Practices with Privia Medical Group, LLC, a 1,518-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
24
Licensed in
VA
In the registry since
2008
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Practice location Address checks out

1900 Thomson Dr
Lynchburg, VA 24501-1009
Phone: (434) 947-2890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 0810003442 (VA)

Record details

NPI number1588836944
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 26, 2008
Last updated in NPPESMarch 26, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Privia Medical Group, Llc — 1518 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Lynchburg