On the Margins Family Therapy & Psychological Services, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

ON THE MARGINS FAMILY THERAPY & PSYCHOLOGICAL SERVICES, INC.

Practice address

245 Kentucky St Ste E
Petaluma, CA 94952-2877

Phone

(415) 212-9064

NPI assigned

Oct 24, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Daniela Dominguez, PSYDNPI 1720705460

Title

Founder and Chief Executive Officer

Phone

(415) 209-5592

Specialties & licenses 4

Addresses

Other names 1

• On the Margins Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniela Dominguez, PSYD

  • Counseling Psychologist
  • Petaluma, CA
  • NPI 1720705460
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1043937790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 KENTUCKY ST STE E",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522877",
            "telephone_number": "415-212-9064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 KENTUCKY ST STE E",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522877",
            "telephone_number": "415-212-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON THE MARGINS FAMILY THERAPY & PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "DANIELA",
        "authorized_official_title_or_position": "FOUNDER AND CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "415-209-5592",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "On the Margins",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "On the Margins",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jordan Olenberger, OTR/L
• Kate Kaliska Oliver, CMT
• Jerri Dahle Ollett
• Gunner John Olsen, PHARM D
• Stephen Omondi
• On the Margins, Inc.
• Open Hand Acupuncture & Healing Arts
• Jessica Samantha Ordaz
• Juan Julian Ordonez Hernandez
• Isabella Orlean

• Psychologist in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.