DR. DANIELA DOMINGUEZ PSYD
NPI 1720705460
Psychologist - Counseling in Petaluma, CA

Active since October 24, 2022PECOS EnrolledAccepts Medicare Assignment
245 KENTUCKY ST STE E, PETALUMA, CA 94952(415) 212-9064 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 3, 2024, Nov 19, 2022, Nov 11, 2022 and 1 more (4 updates tracked since 2022).

About Dr. Daniela Dominguez Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DANIELA DOMINGUEZ PSYD (NPI 1720705460) is an individual counseling provider in Petaluma, California, licensed in California (29367) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1720705460
Entity TypeIndividualFemale
Primary Taxonomy103TC1900X
Provider Legal NameDR. DANIELA DOMINGUEZCredential: PSYD
Location Address245 KENTUCKY ST STE EPetaluma, CA 94952-2877
Mailing Address132 Marinero CirBelvedere Tiburon, CA 94920-1627 · (415) 212-9064
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 24, 2022
Last NPPES UpdateOctober 3, 20244 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
NPI 1720705460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License Licensed in CA · 29367
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
245 KENTUCKY ST STE E, Petaluma, CA 94952

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Daniela Dominguez Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395118517
PECOS Enrollment IDI20230308001975
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
245 KENTUCKY ST STE E
PETALUMA, CA 94952
Dentist (General Practice)
245 KENTUCKY ST STE E
PETALUMA, CA 94952
Marriage & Family Therapist
245 KENTUCKY ST STE E
PETALUMA, CA 94952
Marriage & Family Therapist
245 KENTUCKY ST STE E
PETALUMA, CA 94952
Community Health Worker
245 KENTUCKY ST STE E
PETALUMA, CA 94952
Dentist
245 KENTUCKY ST STE E
PETALUMA, CA 94952

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniela Dominguez's NPI number?

The NPI number for Daniela Dominguez is 1720705460. It was assigned to this individual provider in the NPPES registry on October 24, 2022.

Where is Daniela Dominguez located?

Daniela Dominguez practices at 245 Kentucky St Ste E, Petaluma, CA 94952. The listed phone number is (415) 212-9064.

What is Daniela Dominguez's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Is Daniela Dominguez enrolled in Medicare?

Yes. Daniela Dominguez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Daniela Dominguez accept?

Health plans from Providence Health Plan list Daniela Dominguez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Daniela Dominguez was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.