DR. ELISABETH MEGAN GOODWIN (NPI# 1538399480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538399480 |
| Entity Type | Individual |
| Full Name | DR. ELISABETH MEGAN GOODWIN |
| Credential | PSY.D. |
| Practice Address |
727 Industrial Rd Ste 104 San Carlos CA 94070-3390 |
| Mailing Address |
Po Box 1124 Burlingame CA 94011-1124 |
| Practice Telephone | 6502041370 |
| Mailing Telephone | 8312773852 |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2015-04-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 24453 | CA | Behavioral Health & Social Service Providers |
| Street Address |
727 INDUSTRIAL RD STE 104 |
| City | SAN CARLOS |
| State | CA |
| Zip Code | 94070-3390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669943189 | Regina Rayz | Community Health Worker | Edgewood Center, 957 Industrial Rd B, San Carlos, CA 94070 | 2018-12-10 |
| 1275026668 | Zhimiao Wang | Acupuncturist | 1608 Laurel St, San Carlos, CA 94070 | 2018-06-11 |
| 1922508324 | Erica Garica Romero | Counselor | 610 Elm Street, Suite 212, San Carlos, CA 94070 | 2018-02-13 |
| 1619482429 | Yicheng Han | Counselor | 527 Hillcrest Rd., San Carlos, CA 94070 | 2017-12-04 |
| 1679082192 | Enrique Francisco Delgado | Counselor | 610 Elm St. #212, San Carlos, CA 94070 | 2017-09-27 |
| 1871011379 | Melanie Schug | Counselor | 610 Elm Street, Suite 212, San Carlos, CA 94070 | 2017-09-05 |
| 1891213393 | Teresa Wace | Counselor | 1303 San Carlos Avenue, San Carlos, CA 94070 | 2017-09-05 |
| 1437671344 | Ana Garcia | Counselor | 957 Industrial Road, Suite B, San Carlos, CA 94070 | 2017-07-12 |
| 1629527825 | Annette Waters | Speech-Language Pathologist | 1017 Cedar St, San Carlos, CA 94070 | 2016-09-28 |
| 1962831297 | Kathleen Lauren Mcspadden | Marriage & Family Therapist | 1303 San Carlos Ave., San Carlos, CA 94070 | 2013-11-07 |
| Find all providers in zip 94070 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962958918 | Janet A. Schmidt | Psychologist | 233 Club Dr, San Carlos, CA 94070-1616 | 2016-08-30 |
| 1942334578 | Russell Chandler Llewellyn | Psychologist | 1350 Cherry St, San Carlos, CA 94070-3008 | 2007-03-15 |
| 1578619755 | Kathleen (kay) Bolter | Psychologist | 1355 San Carlos Ave Ste B, San Carlos, CA 94070-5603 | 2007-01-28 |
| 1417001918 | Ubaldo F Sanchez | Psychologist | 727 Industrial Rd, Suite 102, San Carlos, CA 94070-3391 | 2007-01-22 |
| 1790848513 | Farzaneh Amini | Psychologist | 3355 Brittan Ave, Suite #4, San Carlos, CA 94070-3430 | 2006-12-19 |
| 1750521266 | Sarah Burdge | Psychologist | 610 Elm St, Suite 212, San Carlos, CA 94070-8401 | 2009-02-23 |
| 1750504122 | Nancy Lu Quiggle | Psychologist | 957 Industrial Rd, Suite B, San Carlos, CA 94070-4151 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164023867 | Watson, Sanchez, & Navarro Psychological Group | Psychologist | 270 E 7th St Ste 1c, Upland, CA 91786-6602 | 2020-11-08 |
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1982203568 | Gautami Polepally Ashok | Psychologist | 1234 W Chapman Ave Ste 203, Orange, CA 92868-2863 | 2020-10-23 |
| 1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1588261580 | Pamela J Newman | Psychologist | 3737 Elderberry Gln, Escondido, CA 92025-7910 | 2020-10-04 |
| 1689271785 | Michelle Sullivan | Psychologist | 2419 44th Ave, San Francisco, CA 94116-2062 | 2020-10-02 |
| 1184231730 | Joanna Lesley Kaye | Psychologist | 3555 Rosecrans St Ste 114-212, San Diego, CA 92110-3231 | 2020-09-28 |
| 1174130181 | Pamela F. Benyas | Psychologist | Dr. Pamela Benyas, 4419 Vans Nuys Bl #400, Sherman Oaks, CA 91403 | 2020-09-24 |
| 1730795634 | Maya Boustani | Psychologist | 5441 Dundee Ct, Rancho Cucamonga, CA 91739-2604 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
| City | SAN CARLOS |
| Zip Code | 94070 |
Please comment or provide details below to improve the information on DR. ELISABETH MEGAN GOODWIN.
| 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.