Cecilia M. Dominguez, PSY.D
NPI 1174764732ActiveIndividual· Psychologist, Clinical· Vancouver, WA
Psychologist, Clinical (PSY.D) with Legacy Salmon Creek Hospital and 1 other group, practicing in Vancouver, Washington. Medicare paid $10,690 for services to 70 patients in 2024. Lists Legacy Good Samaritan Medical Center as a hospital affiliation.
Overview
| NPI | 1174764732 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D |
| Sole proprietor | Yes |
| NPI issued | Mar 11, 2009 |
| Last updated in NPPES | Sep 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PY60666459 | WA |
| Psychologist, Clinical | 103TC0700X | 2673 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (OR); Practitioner - Clinical Psychologist (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 70 |
|---|---|
| Services billed | 256 across 10 procedure codes |
| Paid by Medicare | $10,690 |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical groups
- Legacy Salmon Creek HospitalPortland, OR · 301 clinicians
- Legacy Good Samaritan Hospital and Medical CenterPortland, OR · 191 clinicians
Hospital affiliation
- Legacy Good Samaritan Medical CenterPortland, OR
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All 128 clinical psychologists in Vancouver · All clinical psychologists in Washington