VICKI GOODMAN (NPI# 1083001044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083001044 |
| Entity Type | Individual |
| Full Name | VICKI GOODMAN |
| Credential | LMFT |
| Practice Address |
537 Biscayne Dr San Rafael CA 94901-8322 |
| Practice Telephone | 4153029564 |
| Mailing Telephone | 4153029564 |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2015-04-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 82028 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003237991 | Vicki Goodman | Counselor | 619 N 500 W, Provo, UT 84601-1547 | 2013-12-19 |
| 1467799635 | Vicki Goodman | Social Worker | 3000 Connecticut Ave Nw, Suite 104, Washington, DC 20008-2509 | 2013-01-08 |
| 1508197815 | Vicki L Goodman | Midwife | 3727 W Wisconsin Ave, Milwaukee, WI 53208-3182 | 2010-01-26 |
| Street Address |
537 BISCAYNE DR |
| City | SAN RAFAEL |
| State | CA |
| Zip Code | 94901-8322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1093292765 | Marin Community Clinic | Clinic/Center | 411 4th Strteet, Suite A, San Rafael, CA 94901 | 2018-07-25 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1689101107 | Marin Family Recovery | Clinic/Center | 1209 Third St. Ste 4, San Rafael, CA 94901 | 2017-05-15 |
| 1376070011 | Tencia Beavers-sanchez | Counselor | 710 C Street Suite#8, Marin Outpatient&recoveryservices, Sanrafael, CA 94901 | 2017-05-12 |
| 1326584905 | Jamie Waterman | Emergency Medical Technician, Basic | 675 Sir Francis Drake Blvd, Kentfield, CA 94901 | 2017-01-06 |
| 1295270676 | Stephen Marks | Counselor | 900 Fifth Avenue, Suite 150, ; San Rafael, CA 94901 | 2016-12-21 |
| 1497299812 | Vesna Sturman | Psychologist | 712 D St Ste L, San Rafael, CA 94901 | 2016-12-05 |
| 1063955771 | Carol Dutton Hollenberg | Behavior Technician | 503 D St., San Rafael, CA 94901 | 2016-11-29 |
| 1083069447 | Bay Area Community Resources | Community/Behavioral Health | 103 Shoreline Parkway, San Rafael, CA 94901 | 2016-05-04 |
| Find all providers in zip 94901 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780207134 | Marianne Haissman Stefancic | Marriage & Family Therapist | 409 Forbes Ave., San Rafael, CA 94901 | 2020-05-20 |
| 1568081586 | Leslie Dempsey | Marriage & Family Therapist | 256 Orris Ter, San Rafael, CA 94903-2510 | 2020-04-09 |
| 1548898653 | Rochelle Edwards | Marriage & Family Therapist | 2173 Francisco Blvd E Ste B, San Rafael, CA 94901-5523 | 2020-04-01 |
| 1699232074 | Pamela Meyer | Marriage & Family Therapist | 1330 Lincoln Ave Ste 208d, San Rafael, CA 94901-2142 | 2019-02-21 |
| 1043774052 | Collin Hoctor | Marriage & Family Therapist | 712 D St Ste P, San Rafael, CA 94901-3706 | 2019-01-23 |
| 1568967768 | Paula F Mierzejewski | Marriage & Family Therapist | 710 C St Ste 9, San Rafael, CA 94901-3853 | 2018-03-28 |
| 1275052516 | Laura Ellen Silverstein | Marriage & Family Therapist | 600 Fifth Avenue, San Rafael, CA 94901 | 2017-09-19 |
| 1114450715 | Jay Stone Rice | Marriage & Family Therapist | 2173 Francisco Blvd E Ste J, San Rafael, CA 94901-5523 | 2017-04-10 |
| 1467997809 | Sara Elizabeth Gardner | Marriage & Family Therapist | 448 Du Bois St, San Rafael, CA 94901-3911 | 2016-12-20 |
| 1740724467 | Lisa Hauck-loy | Marriage & Family Therapist | 1330 Lincoln Ave Ste 306, San Rafael, CA 94901-2143 | 2016-12-14 |
| Find all providers in SAN RAFAEL | ||||
| City | SAN RAFAEL |
| Zip Code | 94901 |
Please comment or provide details below to improve the information on VICKI GOODMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.