On the Margins Family Therapy & Psychological Services, Inc.
NPI 1043937790ActiveOrganization· Psychologist· Petaluma, CA
Psychologist in Petaluma, California, registered in NPPES in October 2022. The authorized official on file is Daniela Dominguez, PSYD, Founder And Chief Executive Officer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1043937790 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 24, 2022 |
| Last updated in NPPES | Oct 3, 2024 |
| Certified by provider | Oct 3, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
| Marriage & Family Therapist | 106H00000X | — | — |
| Health & Wellness Coach | 171400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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