Active NPIIndividual providerSole proprietor

Dr. Dominic Canova, PSYD, MSED, LPC

Counselor, Mental Health in Secaucus, New Jersey

NPI Number1720751092
Practice location
729 10TH St Apt 2E, Secaucus, NJ 07094-2924
Fax
—
Last updated
July 31, 2021

Dominic Canova is a Counselor, Mental Health based in Secaucus, NJ. Dominic Canova practices in Secaucus, NJ and has the professional credentials of PSYD, MSED, LPC. The NPI Number for Dominic Canova is 1720751092 and holds a License No. 37PC00767400 (NJ). The current practice location address for Dominic Canova is 729 10TH St Apt 2E, Secaucus, NJ 07094-2924 and can be reached out via phone at 412-780-0583.

Provider Profile Details

NPI Number
1720751092
Provider Name
Dominic Canova
Credential
PSYD, MSED, LPC
Provider Entity Type
Individual
Gender
Male
Address
729 10TH St Apt 2E, Secaucus, NJ 07094-2924
Phone Number
412-780-0583
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
July 31, 2021
Last Update Date
July 31, 2021
Certification Date
July 31, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
729 10TH St Apt 2E
Secaucus, NJ 07094-2924
Zip
07094-2924
Phone Number
412-780-0583
Secaucus, NJ 07094Get directions →

Provider Business Mailing Address Details

Address
729 10TH St Apt 2E
Secaucus, NJ 07094-2924
City
Secaucus
State
NJ
Zip
07094-2924
Phone Number
412-780-0583

License Information

License Number
37PC00767400
License State
NJ
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Dominic Canova, PSYD, MSED, LPC?

The NPI number of Dr. Dominic Canova, PSYD, MSED, LPC is 1720751092. It was assigned on July 31, 2021 and is currently active in the NPPES registry.

What is the specialty of Dr. Dominic Canova, PSYD, MSED, LPC?

Dr. Dominic Canova, PSYD, MSED, LPC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37PC00767400.

Where does Dr. Dominic Canova, PSYD, MSED, LPC practice?

The practice location is 729 10TH St Apt 2E, Secaucus, NJ 07094-2924. The office can be reached at 412-780-0583 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720751092 directly on the NPPES registry website.

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