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

Dr. Daniela Dominguez, PSYD

Individual provider Counseling Psychologist · NPI 1720705460

Dr. Daniela Dominguez, PSYD is a Clinical Psychologist in Petaluma, California. Qualified in 2015, 11 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2022
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

245 Kentucky St Ste E
Petaluma, CA 94952-2877
Phone: (415) 212-9064
Show map & directions

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

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X · Licence 29367 (CA)

Record details

NPI number1720705460
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedOctober 24, 2022
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 2024
Mailing address132 Marinero Cir, Belvedere Tiburon, CA 94920-1627

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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