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DESTINY JIMENEZ RADT-1 NPI 1679167506


NPI Information

NPI: 1679167506
Provider Name: DESTINY JIMENEZ, RADT-1
Classification: Psychologist - 103TR0400X
Entity Type: Individual

Specialization: Rehabilitation

Address:
1601 2ND ST STE 104
SAN RAFAEL, CA
ZIP 94901
Phone: (415) 459-2395
Get Directions

Destiny Jimenez, RADT-1 is a rehabilitation psychologist in San Rafael, CA. The provider is a psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and functional difficulties, and help people to overcome barriers to participation in life activities. Rehabilitation psychologists are involved in practice, research, and advocacy, with the broad goal of fostering independence and opportunity for people with disabilities. Destiny Jimenez, RADT-1 NPI is 1679167506. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1601 2ND ST STE 104
SAN RAFAEL, CA
ZIP 94901-701
Phone: (415) 459-2395

The enumeration date for this NPI number is 2/22/2021 and was last updated on 2/22/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TA0400XPsychologistAddiction (Substance Use Disorder)No
2103TR0400XPsychologistRehabilitationYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.