MEDICARE: ROXANNE R DOMEK, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1790819027	OTHER	ND	TYPE I NPI

General Provider Information

NPI Number	:	1982356077
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROXANNE R DOMEK, PLLC

Provider Business Mailing Address
First Line	:	3707 E SOUTHERN AVE STE 1066
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85206-6206
Country	:	US
Telephone Number	:	480-823-0360
Fax Number	:

Provider Business Practice Location Address
First Line	:	3707 E SOUTHERN AVE STE 1066
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85206-6206
Country	:	US
Telephone Number	:	480-823-0360
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ROXANNE R DOMEK
Credential	:	LPC
Telephone Number	:	480-823-0360

Provider Enumeration Date	:	01/20/2022
Last Update Date	:	01/20/2022

Similar Medicare Providers

1902115108 — EUGENIA G AVIDANO
Practice Location Address:

4459 DALE AVE
LA MESA, CA
91941-6206

Practice Phone: 619-328-7000
Practice Fax:

1235508615 — MCALISTER INSTITUTE FOR TREATMENT AND EDUCATION, INC.
Practice Location Address:

4495 DALE AVE , SUITE 100
LA MESA, CA
91941-6206

Practice Phone: 619-465-4436
Practice Fax: 619-465-4456

1710299243 — ONSIGHT EYE SOLUTIONS PLLC
Practice Location Address:

1423 S HIGLEY RD , STE 127
MESA, AZ
85206-3429

Practice Phone: 480-505-6206
Practice Fax: 480-505-6225

1821301029 — DR. THOMAS A MOSER O.D.
Practice Location Address:

1423 S HIGLEY RD , STE 127
MESA, AZ
85206-3429

Practice Phone: 480-505-6206
Practice Fax: 480-505-6225

1184559064 — CHRISTIAN HAMMERICH
Practice Location Address:

5850 E STILL CIR
MESA, AZ
85206-3618

Practice Phone: 650-228-8385
Practice Fax:

1265367932 — KERSTYN LUDLOW LAMFT
Practice Location Address:

1423 S HIGLEY RD STE 126
MESA, AZ
85206-3450

Practice Phone: 480-809-9068
Practice Fax:

Directions to “ROXANNE R DOMEK, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.