DR. KIM GOLDMAN (NPI# 1255846093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255846093 |
| Entity Type | Individual |
| Full Name | DR. KIM GOLDMAN |
| Credential | PSY.D. |
| Practice Address |
31625 Highway 101 S Soledad CA 93960-9529 |
| Mailing Address |
Po Box 1450 Aptos CA 95001-1450 |
| Practice Telephone | 7144786412 |
| Mailing Telephone | 7144786412 |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2017-12-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY17877 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689634404 | Kim E Goldman | Dentist | Nyu School of Dentistry, 345 East 24th Street, New York, NY 10010-4086 | 2006-03-24 |
| Street Address |
31625 HIGHWAY 101 S |
| City | SOLEDAD |
| State | CA |
| Zip Code | 93960-9529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962491639 | Sheva Teresa Nickravesh | Dentist | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2005-10-17 |
| 1588183172 | Anthony Giabao Ha | Pharmacist | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2017-09-14 |
| 1285163592 | Marissa J Machado | Psychologist | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2017-06-08 |
| 1437685849 | Alexander Leslie Black Jr. | Contractor | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2017-05-04 |
| 1801257902 | Tami Lyn Leffler | Social Worker | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2016-03-16 |
| 1982065082 | Joseph Claybaugh | Psychologist | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2016-03-16 |
| 1710307822 | Randulf Villanueva Erguiza | Nurse Practitioner | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2014-04-16 |
| 1891038154 | Shannon Murray | Psychologist | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2013-04-04 |
| 1992055545 | Emily Moresco | Psychologist | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2012-09-11 |
| 1831453927 | Julie Kinh Pham | Pharmacist | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2012-07-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528621091 | Miriam Lorena Rios | Counselor | 2167-h De La Rosa St, Soledad, CA 93960 | 2019-04-19 |
| 1972093169 | Rashelle Jeannette Dadula | Assistant Behavior Analyst | 605 Asilomar Ave., Soledad, CA 93960 | 2018-05-14 |
| 1205326659 | Rebecca L Pilgrim | Nurse Practitioner | Us 101, Soledad, CA 93960 | 2018-05-11 |
| 1932630720 | Joycelyn A Mendoza | Dietitian, Registered | 355 Gabilan St., Soledad, CA 93960 | 2017-03-23 |
| 1912449505 | Christine Kregg | Social Worker | U.S. Highway 101 North, Correctional Training Facility, Soledad, CA 93960 | 2016-11-14 |
| 1356684088 | Kiet Quoc Le | Pharmacist | Hwy 101 N, Soledad, CA 93960 | 2013-04-01 |
| 1063753226 | Matthew Wynn | Psychologist | Highway 101 N, California Correctional Facility Soledad, Soledad, CA 93960 | 2013-03-12 |
| 1326390097 | Raha Yavari | Psychologist | 31625 Us Highway 101, Soledad, CA 93960 | 2012-10-05 |
| 1609005321 | Mitzi Doreen Baladiang Balbona | Family Medicine | Us Hwy 101s, California, CA 93960 | 2009-07-02 |
| 1093977076 | Gbenga Akinyemi | Social Worker | 31625 High Way 101, Salinas Valley Psychiatric Program, Soledad, CA 93960 | 2008-06-30 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164762290 | Rio H Heigh | Psychologist | Hwy 101, California Department of Corrections and Rehabilitation, Soledad, CA 93960-0686 | 2013-02-27 |
| 1841766680 | Brittany Sawyer | Psychologist | 31625 U.S. 101, Soledad, CA 93960 | 2018-10-19 |
| 1285163592 | Marissa J Machado | Psychologist | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2017-06-08 |
| 1982065082 | Joseph Claybaugh | Psychologist | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2016-03-16 |
| 1821379306 | Elizabeth Francisca Palko | Psychologist | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2011-08-29 |
| 1417246935 | Randall Robert Schwartz | Psychologist | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2011-04-05 |
| 1043512668 | Julie Ann Ngin | Psychologist | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2010-12-02 |
| 1811205685 | Jeremy William Price | Psychologist | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2010-09-15 |
| 1225353105 | Karesa L Meek | Psychologist | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2010-04-02 |
| 1932430410 | Pauline Bonilla | Psychologist | 31625 Highway 101 S, Soledad, CA 93960-9529 | 2010-01-22 |
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| 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.