On The Margins in Petaluma, CA - Medicare Psychologist

On The Margins is a medicare enrolled mental health clinic (Psychologist) in Petaluma, California. The current practice location for On The Margins is 245 Kentucky St Ste E, Petaluma, California. For appointments, you can reach them via phone at (415) 212-9064. The mailing address for On The Margins is 245 Kentucky St Ste E, Petaluma, California and phone number is (415) 212-9064.

On The Margins is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1043937790. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (415) 212-9064.

Contact Information

	On The Margins
	245 Kentucky St Ste E Petaluma CA 94952-2877
	(415) 212-9064
	Not Available

Map and Direction

Mental Health Clinic Profile

Full Name	On The Margins
Speciality	Psychologist
Location	245 Kentucky St Ste E, Petaluma, California
Authorized Official Name and Position	Daniela Dominguez (FOUNDER AND CHIEF EXECUTIVE OFFICER)
Authorized Official Contact	4152095592
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
On The Margins 245 Kentucky St Ste E Petaluma CA 94952-2877 Ph: (415) 212-9064	On The Margins 245 Kentucky St Ste E Petaluma CA 94952-2877 Ph: (415) 212-9064

NPI Details:

NPI Number	1043937790
Provider Enumeration Date	10/24/2022
Last Update Date	10/03/2024
Certification Date	10/03/2024

Medicare PECOS Information:

Medicare PECOS PAC ID	4486027604
Medicare Enrollment ID	O20230308001899

Medical Identifiers

Medical identifiers for On The Margins such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043937790	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	(* (Not Available))	Primary
1041C0700X	Social Worker - Clinical	(* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	(* (Not Available))	Secondary
171400000X	Health & Wellness Coach	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. On The Margins acts as a billing entity for following providers:

Provider Name	Daniela Dominguez
Provider Type	Practitioner - Clinical Psychologist
Provider Identifiers	NPI Number: 1720705460 PECOS PAC ID: 5395118517 Enrollment ID: I20230308001975

Reviews and Comments

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On The Margins - Medicare Mental Health Clinic in Petaluma, CA