DR. MATTHEW GOODMAN (NPI# 1851711584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851711584 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW GOODMAN |
| Credential | PHD |
| Practice Address |
2051 Marengo St Los Angeles CA 90033-1352 |
| Mailing Address |
2250 Alcazar St Los Angeles CA 90089-1011 |
| Practice Telephone | 2485351412 |
| Mailing Telephone | 2485351412 |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2020-01-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871878900 | Matthew H Goodman | Pharmacist | 2412 Crooks Ave, Kaukauna, WI 54130-3914 | 2011-10-20 |
| 1679556633 | Matthew Mortensen Goodman | Dermatology | 1125 E 17th Street, Ste W-248, Santa Ana, CA 92701 | 2005-11-23 |
| 1841540994 | Matthew Gerald Goodman | Counselor | 6651 Chippewa St Ste 224, Saint Louis, MO 63109-2531 | 2012-09-17 |
| 1013181056 | Matthew Reader Goodman | Psychologist | 2222 Bancroft Way Spc 4300, Berkeley, CA 94720-4300 | 2008-04-22 |
| 1588720213 | Matthew J. Goodman | Internal Medicine | 415 Ray C. Hunt Drive, Suite 2100, Charlottesville, VA 22903 | 2006-12-28 |
| 1033217088 | Matthew Boyar Goodman | Psychologist | 106 Spring St, New Bedford, MA 02740-5951 | 2006-09-20 |
| 1679579767 | Matthew Goodman | Internal Medicine | 225 Newtown Rd, Ground Floor, Warminster, PA 18974-5221 | 2005-06-23 |
| Street Address |
2051 MARENGO ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90033-1352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720296668 | Abigail J. Arambulo | Occupational Therapist | 2051 Marengo St, Los Angeles, CA 90033-1352 | 2007-05-21 |
| 1851992226 | Noemy Teresa Carvajal | Respiratory Therapist, Registered | 2051 Marengo St, Los Angeles, CA 90033-1352 | 2020-11-03 |
| 1588265953 | Denise De La Cruz | Respiratory Therapist, Registered | 2051 Marengo St, Los Angeles, CA 90033-1352 | 2020-11-03 |
| 1427658574 | Matthew Cook | Respiratory Therapist, Registered | 2051 Marengo St, Los Angeles, CA 90033-1352 | 2020-10-28 |
| 1962017707 | Maria Ivonne Aranda | Respiratory Therapist, Registered | 2051 Marengo St, Los Angeles, CA 90033-1352 | 2020-09-09 |
| 1699389973 | Manoj N Karunakaran | Respiratory Therapist, Registered | 2051 Marengo St, Los Angeles, CA 90033-1352 | 2020-09-03 |
| 1316551690 | Johnjoyce Z Mendoza | Respiratory Therapist, Registered | 2051 Marengo St, Los Angeles, CA 90033-1352 | 2020-09-03 |
| 1598379208 | Juan Carlos Martinez Camarillo | Ophthalmology | 2051 Marengo St, Los Angeles, CA 90033-1352 | 2020-09-01 |
| 1851903819 | Benjamin Sosa | Respiratory Therapist, Certified | 2051 Marengo St, Los Angeles, CA 90033-1352 | 2020-08-20 |
| 1457963068 | Caesar Alejandro Rangel | Respiratory Therapist, Registered | 2051 Marengo St, Los Angeles, CA 90033-1352 | 2020-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376165050 | Noa Yee | Student in an Organized Health Care Education/Training Program | 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 | 2020-05-15 |
| 1629690144 | Monica Lopez | Respiratory Therapist, Registered | 1251 Marengo St, Los Angeles, CA 90033 | 2020-05-07 |
| 1649890401 | Antonio Hernandez Saenz | Student in an Organized Health Care Education/Training Program | 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 | 2020-04-22 |
| 1417585100 | Kelsey Grace Shea | Student in an Organized Health Care Education/Training Program | 1200 N State St Ird 112, Los Angeles, CA 90033 | 2020-03-30 |
| 1891322780 | Carolyn Kan | Student in an Organized Health Care Education/Training Program | 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 | 2020-03-23 |
| 1902445786 | Maury M Hopkins | Registered Nurse | 1883 Marengo Street, Los Angeles, CA 90033 | 2019-12-27 |
| 1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
| 1093369399 | Christine Yoon | Pharmacist | 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 | 2019-07-25 |
| 1073075339 | Johanna Keller | Student in an Organized Health Care Education/Training Program | La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 | 2019-04-04 |
| 1386115137 | Sonya Lorain Earley | Physician Assistant | 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 | 2018-12-05 |
| Find all providers in zip 90033 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013065630 | Flora Zomorodi | Psychologist | 1122 S La Cienega Blvd, #110, Los Angeles, CA 90035-0010 | 2007-01-08 |
| 1225408099 | Marian Ehrich Oppenheimer | Psychologist | 8838 W Pico Blvd, Los Angeles, CA 90035-3302 | 2015-10-05 |
| 1154585891 | Laura Bava | Psychologist | 4650 W Sunset Blvd # 54, Los Angeles, CA 90027-6062 | 2008-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497607 | Michael J Hurtado | Psychologist | 5597 W Vartikian Ave, Fresno, CA 93722-3145 | 2020-11-06 |
| 1396374054 | Mark A Amparo | Psychologist | 5222 Balboa Ave Ste 33, San Diego, CA 92117-6953 | 2020-04-05 |
| 1043844459 | Nickolas Sloan Huston | Psychologist | 2371 W Main St Spc 57, Barstow, CA 92311-3614 | 2020-02-24 |
| 1366080418 | Denise Cherelle Rollins | Psychologist | 8619 Culpepper Dr, Sacramento, CA 95823-7658 | 2019-12-18 |
| 1124671136 | Ivan Butrus | Psychologist | 1516 Granite Hills Dr # Drb, El Cajon, CA 92019-5300 | 2019-07-18 |
| 1821659517 | Teresa Malyka Cheam | Psychologist | 301 The City Drive, Orange, CA 92868-3205 | 2019-06-24 |
| 1629633755 | Rans Shaaya | Psychologist | 520 Ballard St, El Cajon, CA 92019-2124 | 2019-05-03 |
| 1356823637 | Tin Joshua Pham | Psychologist | 1860 Walnut St. Suite A, Red Bluff, CA 96080-3611 | 2018-09-03 |
| 1184102238 | Ashley Jean Parker | Psychologist | 3575 Ridgewood Rd, Willits, CA 95490-9787 | 2018-08-01 |
| 1376039438 | Azia Brown | Psychologist | 365 Talbot Ave Apt M15, Pacifica, CA 94044-2667 | 2018-07-02 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90033 |
Please comment or provide details below to improve the information on DR. MATTHEW 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.