DOMINIQUE DOTY (M.S.) – Counseling Psychologist, NPI 1336866599

DOMINIQUE DOTY (M.S.) is a healthcare provider. based in Bartonville, Texas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials M.S.. The NPI Number for DOMINIQUE DOTY (M.S.) is 1336866599

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
DOMINIQUE DOTY (M.S.)
NPI
1336866599
Phone
Not provided
Address
2652 FM 407 E STE 235
Enumeration Date
27 October 2022
Last Update Date
27 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8883745066
Graduation Year
2024 (2 years ago)
PAC ID
3476050022
Group Practice PAC ID
5991064420
Professional Enrollment ID
I20260116002242
Address ID
TX782584988SA19106281X401

Contacts

Main Contact
WWW.SPECTRUSPSYCH.COM
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness85
Years active:3State licenses:0Other namesUpdated within 12 months

1,347 CLINICAL PSYCHOLOGIST in TX

Provider Addresses for DOMINIQUE DOTY (M.S.)

  • 2652 FM 407 E STE 235

    BARTONVILLE, TX 762267025

    Phone:

    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: 2026-01-16

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
I20260116002242IClinical PsychologistTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76226)

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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: 5991064420View full group profile
NameSpecialtyState
Mental Health CounselorWY
Physician AssistantTN
Clinical Social WorkerCO
Clinical Social WorkerTN
Marriage And Family TherapistCO
Mental Health CounselorTN
Nurse PractitionerTX
Mental Health CounselorTN
Clinical Social WorkerCA
P S Y C H I A T R YFL

Reviews

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Frequently asked questions

Where can patients find DOMINIQUE DOTY (M.S.)'s NPI?
You can confirm DOMINIQUE DOTY (M.S.) with NPI 1336866599; it appears in the national provider directory.
Does this profile mean DOMINIQUE DOTY (M.S.) is currently active?
Yes — DOMINIQUE DOTY (M.S.) appears active in the national provider directory.
What kind of provider is DOMINIQUE DOTY (M.S.)?
The page reflects Counseling Psychologist for DOMINIQUE DOTY (M.S.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DOMINIQUE DOTY (M.S.)?
The page summarizes Bartonville, Texas for DOMINIQUE DOTY (M.S.); expand the address list for detail.
Is DOMINIQUE DOTY (M.S.) a real provider?
This page reflects official NPPES data for NPI 1336866599. Always confirm identity and privileges with the practice and licensing boards.

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