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

Dr. Cecilia M Dominguez, PSYD

Individual provider Clinical Psychologist · NPI 1174764732

Dr. Cecilia M Dominguez, PSYD is a Clinical Psychologist in Vancouver, Washington. Qualified in 2011, 15 years ago. Practices with Legacy Good Samaritan Hospital and Medical Center, a 192-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon and Washington.

Years since qualifying
15
Licensed in
OR, WA
In the registry since
2009
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

2101 NE 139th St Ste 265
Vancouver, WA 98686-2311
Phone: (360) 487-2700
Fax: (360) 487-2701
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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 PY60666459 (WA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 2673 (OR)

Record details

NPI number1174764732
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedMarch 11, 2009
Last updated in NPPESMay 15, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Legacy Good Samaritan Hospital And Medical Center — 192 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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