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Deactivated NPI 1346768264 Deactivated / Inactive NPI Female Practitioner

Sheena Marie Dormer

Peer Specialist • Riverside, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Sheena Dormer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 30, 2017
NPI Deactivation Date June 21, 2021
Total Practice Duration ~4 Years of Practice (2017 – 2021)

Professional Overview & Biography Verified Profile Summary

Sheena Dormer was a registered Peer Specialist practicing in Riverside, CA. Throughout an active medical career spanning 4 years, Sheena Dormer provided care at the practice location at 3125 MYERS ST until profile deactivation on 2021-06-21.

Practice Location & Contact Primary Location

Practice Address

3125 Myers St

Riverside, CA 92503

Associated Practice Facility / Clinic
🏢 County Of Riverside Facility NPI 1306911250

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Riverside, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
387 Specialists

Practicing in Riverside, CA (4567 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Dalia Balsamo , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1003141847

Doctor of Medicine (M.D.)

Christina Arviso , MA

Behavior Analyst

NPI 1003210246

Master of Arts

Marco Elias-Juarez

Marriage & Family Therapist

NPI 1003434986
Blake Laszlo

Peer Specialist

NPI 1003595752
Lagwenda Hill

Peer Specialist

NPI 1013432731
Aaron Alonso

Case Manager/Care Coordinator

NPI 1023678810

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated June 21, 2021

Record deactivated on June 21, 2021

NPI Profile Active August 30, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 30, 2017

Registered at 3125 MYERS ST, RIVERSIDE, CA 92503 (Tel: (951) 955-7829)

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Updated Business Mailing Address August 30, 2017

Registered at 3125 MYERS ST, RIVERSIDE, CA 925035527 (Tel: 9519557829)

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Provider Name / Credentials Updated August 30, 2017

Recorded as SHEENA DORMER

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2017

Peer Specialist

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Initial NPI Registration & Enumeration August 30, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346768264
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2017
Last Update: August 30, 2017
Deactivation Date: June 21, 2021

Mailing Address

3125 Myers St

Riverside, CA 925035527

Phone: 9519557829

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.