Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Destiny Jimenez, RADT-1

Individual provider Addiction (Substance Use Disorder) Psychologist · NPI 1679167506

Destiny Jimenez, RADT-1 is an Addiction (Substance Use Disorder) Psychologist in San Rafael, California. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

1601 2nd St Ste 104
San Rafael, CA 94901-2701
Phone: (415) 459-2395
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Psychologist (primary) Taxonomy 103TR0400X
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X

Record details

NPI number1679167506
Entity typeIndividual (Type 1)
GenderFemale
Credentials RADT-1
Sole proprietorYes
NPI enumeratedFebruary 22, 2021
Last updated in NPPESFebruary 22, 2021
Certification dateFebruary 22, 2021

Other providers in San Rafael