NICHOLAS MICHAEL DOMANEY – Psychiatry Physician, NPI 1033537337

NICHOLAS MICHAEL DOMANEY is a healthcare provider. based in Boston, Massachusetts. specializing in PSYCHIATRY. They hold a License No. 272473 (MA). The NPI Number for NICHOLAS MICHAEL DOMANEY is 1033537337

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS MICHAEL DOMANEY
NPI
1033537337
Phone
(617) 667-1029
Address
330 BROOKLINE AVE
Enumeration Date
3 April 2014
Last Update Date
22 January 2021

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
6176672000
Graduation Year
2014 (12 years ago)
PAC ID
3971720061
Group Practice PAC ID
8123936119
Professional Enrollment ID
I20180507001587
Address ID
MA022155400BO330XXAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,743 PSYCHIATRY in MA

Provider Addresses for NICHOLAS MICHAEL DOMANEY

  • 330 BROOKLINE AVE

    BETH ISRAEL DEACONESS MEDICAL CENTER DEPT OF PSYCHIATRY

    BOSTON, MA 02215

    Phone: (617) 667-1029

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-05-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180507001587IPsychiatryMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes6826$0
99213Established patient office or other outpatient visit, 20-29 minutes4415$0
90833Psychotherapy with evaluation and management visit, 30 minutes4218$0
View full utilization report →

Insurance plans in this area (ZIP 02215)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123936119View full group profile
NameSpecialtyState
Emergency MedicineMA
Emergency MedicineNY
Emergency MedicineMA
Internal MedicineMA
Internal Medicine, EndocrinologyMA
Emergency Medicine, Medical ToxicologyMA
Emergency MedicineMA
Emergency MedicineMA
-MA
Emergency MedicineMA

Reviews

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Frequently asked questions

How is NICHOLAS MICHAEL DOMANEY identified in CMS data?
CMS-hosted NPPES data lists NICHOLAS MICHAEL DOMANEY with NPI 1033537337.
Is NICHOLAS MICHAEL DOMANEY still practicing?
NICHOLAS MICHAEL DOMANEY is currently listed as active in the public NPI registry.
What is NICHOLAS MICHAEL DOMANEY best known for clinically?
Directory data describes NICHOLAS MICHAEL DOMANEY with Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What area does NICHOLAS MICHAEL DOMANEY serve?
NICHOLAS MICHAEL DOMANEY's listing highlights Boston, Massachusetts; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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