DR. NORA GOUDSMIT


Address: 640 S San Vicente Blvd Ste 476, Los Angeles, CA 90048-4661
Phone: 6463190338

DR. NORA GOUDSMIT (NPI# 1932458155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932458155
Entity Type Individual
Full Name DR. NORA GOUDSMIT
Credential PH.D.
Practice Address 640 S San Vicente Blvd Ste 476
Los Angeles
CA 90048-4661
Mailing Address 640 S San Vicente Blvd
Ste 476
Los Angeles
CA 90048-4661
Practice Telephone 6463190338
Mailing Telephone 3238523171
Enumeration Date 2012-09-04
Last Update Date 2018-07-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103G00000X Clinical Neuropsychologist 28867 CA Behavioral Health & Social Service Providers
N 103G00000X Clinical Neuropsychologist 019531 NY Behavioral Health & Social Service Providers
Y 103TC0700X Psychologist
Specialization: Clinical
28867 CA Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
019531 NY Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
5 E 94th St, New York, NY 101281913 6463190338

Office Location

Street Address 640 S SAN VICENTE BLVD STE 476
City LOS ANGELES
State CA
Zip Code 90048-4661

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902246341 Goudsmit Psychology, Pllc Clinical Neuropsychologist 640 S San Vicente Blvd Ste 476, Los Angeles, CA 90048-4661 2013-06-30

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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City LOS ANGELES
Zip Code 90048

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Dataset Information

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.

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