MR. MICHAEL JAY GOLDSTEIN (NPI# 1427224773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427224773 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL JAY GOLDSTEIN |
| Credential | MFT |
| Practice Address |
134 Grevillia Drive Petaluma CA 94952 |
| Practice Telephone | 7077821135 |
| Practice Fax Number | 7077821135 |
| Mailing Telephone | 7077821135 |
| Mailing Fax Number | 7077821135 |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-05-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC29976 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MFT LICENSE | MHC29976 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871157651 | Michael S Goldstein | Social Worker | 62 Bowman Avenue, Rye Brook, NY 10573-2804 | 2019-04-26 |
| 1578005831 | Michael Goldstein | Specialist | 44 Edwards St, Apt 1a, Roslyn Heights, NY 11577-1084 | 2016-11-17 |
| 1033461405 | Michael Lee Goldstein | Dentist | 6325 Topanga Canyon Blvd Ste 303, Woodland Hills, CA 91367-2000 | 2012-10-10 |
| 1669683082 | Michael G Goldstein | General Practice | 3350 Wilshire Blvd Ste 120, Los Angeles, CA 90010-1825 | 2007-05-25 |
| 1316156896 | Michael Douglas Goldstein | Dentist | 474 N Rover Rd, Williamson, GA 30292-3754 | 2007-05-22 |
| 1538207626 | Michael K Goldstein | Dentist | 23 Cedar St, Taunton, MA 02780-3330 | 2007-02-02 |
| 1689729394 | Michael T Goldstein | Ophthalmology | 115 E 61st St Apt 3a, New York, NY 10065-8184 | 2007-01-24 |
| 1013003615 | Michael Philip Goldstein | Optometrist | 396 Cromwell Ave, Unit B, Rocky Hill, CT 06067-1841 | 2006-10-04 |
| 1023037660 | Michael Goldstein | Internal Medicine | 480 Lynnfield St, Lynn, MA 01904-1419 | 2006-07-18 |
| 1366485807 | Michael A. Goldstein | Psychologist | Pettis Memorial Vamc, 11201 Benton Street, Loma Linda, CA 92357-0001 | 2006-06-13 |
| Street Address |
134 GREVILLIA DRIVE |
| City | PETALUMA |
| State | CA |
| Zip Code | 94952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114587680 | Benjamin R Idarius | Behavior Technician | 101 H St. Ste. L, Petaluma, CA 94952 | 2019-06-17 |
| 1518457159 | Kyleen Joan Romero | Behavioral Analyst | 25 Graylawn Ave, Petaluma, CA 94952 | 2018-05-17 |
| 1437647526 | John Scruggs | Behavior Technician | 301 H St. Suit L, Petaluma, CA 94952 | 2018-04-25 |
| 1811404684 | Brief and Strategic Counseling Service | Counselor | 843 Chardonnay Cir., Petaluma, CA 94952 | 2018-01-03 |
| 1730638396 | Jennifer Lee Sloan | Acupuncturist | 517 Hayes Lane, Petaluma, CA 94952 | 2016-09-23 |
| 1982057295 | Elene Hwa-yihg Chung | Acupuncturist | 130 Graylawn Ave.,#f, Petaluma, CA 94952 | 2016-07-21 |
| 1457773624 | Lisa Hirsch Cordeiro | Marriage & Family Therapist | 700 Sixth Street, Petaluma, CA 94952 | 2014-01-07 |
| 1811271075 | Jacques Philippe Archer | Massage Therapist | 131b Kentucky St., Petaluma, CA 94952 | 2011-10-06 |
| 1477841609 | Karna Licia Dawson | Social Worker | 205 Keller St., Petaluma, CA 94952 | 2011-07-21 |
| 1497051783 | Melissa Beth Wilson | Acupuncturist | 155a Kentucky Street, Petaluma, CA 94952 | 2011-02-03 |
| Find all providers in zip 94952 | ||||
| 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 |
|---|---|---|---|---|
| 1326607201 | Making Magic Happen - People Helping People, Inc. | Marriage & Family Therapist | 1318 Redwood Way, Suite 260, Petaluma, CA 94954 | 2019-06-13 |
| 1184106783 | Martin Graff | Marriage & Family Therapist | 855 Lakeville St Ste 108, Petaluma, CA 94952-7328 | 2018-08-30 |
| 1104315845 | Nancy June Goldstein | Marriage & Family Therapist | 134 Grevillia Dr, Petaluma, CA 94952-6110 | 2018-05-08 |
| 1588168405 | Christopher John Ranney | Marriage & Family Therapist | 10 4th St, Petaluma, CA 94952-3004 | 2018-03-23 |
| 1558803288 | Emily Mann | Marriage & Family Therapist | 141 F St, Petaluma, CA 94952-4236 | 2016-11-11 |
| 1932641198 | Heather Sutherland | Marriage & Family Therapist | 1104 Whippoorwill Ct, Petaluma, CA 94954-1815 | 2016-11-04 |
| 1568911964 | Petaluma Family Therapy | Marriage & Family Therapist | 405 E D St Ste 105, Petaluma, CA 94952-3173 | 2016-09-26 |
| 1568824670 | Donald W Waxman | Marriage & Family Therapist | 6 C St, Petaluma, CA 94952-3025 | 2016-03-28 |
| 1245605450 | Rachael Newman | Marriage & Family Therapist | 47 6th St Ste 200, Petaluma, CA 94952-3092 | 2015-12-14 |
| 1477925766 | Tonia Sassi | Marriage & Family Therapist | 174 Windsor Dr, Petaluma, CA 94952-7504 | 2015-10-26 |
| Find all providers in PETALUMA | ||||
Please comment or provide details below to improve the information on MR. MICHAEL JAY GOLDSTEIN.
| 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.