NICOLE GOOLSBY, LICENSED MARRIAGE AND FAMILY THERAPIST, INC. (NPI# 1760941199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760941199 |
| Entity Type | Organization |
| Organization Name | NICOLE GOOLSBY, LICENSED MARRIAGE AND FAMILY THERAPIST, INC. |
| Practice Address |
219 N Indian Hill Blvd Ste 102 Claremont CA 91711-4644 |
| Mailing Address |
Po Box 9266 Rancho Cucamonga CA 91701-8266 |
| Practice Telephone | 9092064453 |
| Mailing Telephone | 9092064453 |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2020-05-21 |
| Authorized Official Name | NICOLE GOOLSBY (LMFT/OWNER) |
| Authorized Official Telephone | 9092064453 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
219 N INDIAN HILL BLVD STE 102 |
| City | CLAREMONT |
| State | CA |
| Zip Code | 91711-4644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639253909 | Janet Carrasco | Social Worker | 219 N Indian Hill Blvd Ste 102, Claremont, CA 91711 | 2006-10-24 |
| 1992229900 | Anne Ricketts | Marriage & Family Therapist | 219 N Indian Hill Blvd Ste 102, Claremont, CA 91711-4644 | 2017-08-01 |
| 1194183244 | Alyssa Davis | Dietitian, Registered | 219 N Indian Hill Blvd Ste 102, Claremont, CA 91711-4644 | 2016-02-04 |
| 1124350475 | Nicole Lynn Goolsby | Marriage & Family Therapist | 219 N Indian Hill Blvd Ste 102, Claremont, CA 91711-4644 | 2010-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659919132 | Suzanne Kathryn Wen | Physical Therapist | 224 North Indian Hill Bvld, Claremont, CA 91711 | 2019-12-16 |
| 1336790690 | Angelita M Sherzada | Social Worker | 250 W. First Street, 242, Claremont, CA 91711 | 2019-09-26 |
| 1629560602 | Patricia L Sellers | Marriage & Family Therapist | 220 S Indian Hill Boulevard, Suite E, Claremont, CA 91711 | 2018-06-05 |
| 1477078418 | Geiselia Thomas | Chore Provider | 519 Martin Way, Claremont, CA 91711 | 2017-08-10 |
| 1750804464 | Vasudavan Govindasamy | Speech-Language Pathologist | 1490 North Claremont Blvd Suite 101, Claremont, CA 91711 | 2017-07-25 |
| 1669850103 | Drpaulolivera | Dentist | 450wsanjose, Claremont, CA 91711 | 2015-05-18 |
| 1003204504 | Alexandra Jordan Bandy | Nurse Practitioner | 530 W. Bonita Ave, Claremont, CA 91711 | 2015-01-06 |
| 1437571379 | Susan Clayton Zylstra | Speech-Language Pathologist | 842 Knox Place, Claremont, CA 91711 | 2014-01-13 |
| 1255671053 | Misty Anne Rogers | Acupuncturist | 689 W. Foothill Blvd., Suite D, Claremont, CA 91711 | 2013-02-15 |
| 1629364161 | Lu Tian | Acupuncturist | 250 W. First Street #112, Claremont, CA 91711 | 2011-06-23 |
| Find all providers in zip 91711 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477114189 | Mindwell, A Licensed Marriage and Family Therapy Corporation | Clinic/Center | 232 Harrison Ave Ste F, Claremont, CA 91711-4323 | 2019-06-24 |
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| 1003422486 | Nicholas Patrick Brown, Do | Clinic/Center | 419 Chestnut St Apt 3, Mount Shasta, CA 96067-2918 | 2020-09-21 |
| 1609481753 | Telecare Corporation | Clinic/Center | 8471 Enterprise Way, Oakland, CA 94621-1317 | 2020-09-14 |
| 1346854973 | A Home for Our Veterans | Clinic/Center | 1811 W 236th St, Torrance, CA 90501-5742 | 2020-09-01 |
| 1184238875 | Integrative Psychotherapy Group, A Marriage and Family Therapy Corp | Clinic/Center | 311 N Robertson Blvd Ste 718, Beverly Hills, CA 90211-1705 | 2020-09-01 |
| 1962016527 | Los Angeles County Department of Mental Health | Clinic/Center | 2934 E Garvey Ave South Ste 230, West Covina, CA 91791-6101 | 2020-09-01 |
| 1649883828 | Soul Solutions, LLC | Clinic/Center | 5100 N 6th St Ste 148, Fresno, CA 93710-7514 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
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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.