DR. ERIC DAVID GOODMAN (NPI# 1942270541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942270541 |
| Entity Type | Individual |
| Full Name | DR. ERIC DAVID GOODMAN |
| Credential | PH.D. |
| Practice Address |
1194 Pacific St Ste 101 Suite B-2 San Luis Obispo CA 93401-3338 |
| Practice Telephone | 8054733388 |
| Practice Fax Number | 8055480815 |
| Mailing Telephone | 8054733388 |
| Mailing Fax Number | 8055480815 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2013-06-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | PSY 20248 | CA | Behavioral Health & Social Service Providers |
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PSY 20248 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689064644 | Eric Goodman | Registered Nurse | 418 Otis Ave, Downers Grove, IL 60515-3051 | 2015-01-29 |
| 1124385844 | Eric Wayne Goodman | Chiropractor | 18047 W Catawba Ave Ste A, Cornelius, NC 28031-5663 | 2012-04-19 |
| 1821124652 | Eric Goodman | Specialist/Technologist | 25 Alumni Dr, Dover High School, Dover, NH 03820-4367 | 2007-02-26 |
| 1861705253 | Eric Michael Goodman | Radiology | 300 Community Dr, Department of Radiology, Manhasset, NY 11030-3816 | 2010-07-14 |
| 1710028360 | Eric Michael Goodman | Nurse Practitioner | 590 Court St, Department of Pediatrics, Keene, NH 03431-1719 | 2007-02-08 |
| 1891704177 | Eric Todd Goodman | Radiology | 8933 Activity Rd, San Diego, CA 92126-4427 | 2006-08-05 |
| Street Address |
1194 PACIFIC ST STE 101 SUITE B-2 |
| City | SAN LUIS OBISPO |
| State | CA |
| Zip Code | 93401-3338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548316466 | Tim Schenberg | Psychologist | 1194 Pacific St Ste 101, San Luis Obispo, CA 93401-3338 | 2007-01-25 |
| 1306998786 | Coastal Center for Anxiety Treatment | Psychologist | 1194 Pacific St Ste 101, Suite B-2, San Luis Obispo, CA 93401-3338 | 2007-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497228399 | Barbara Jean Morrow | Dental Hygienist | 2191 Johnson Avenue, San Luis Obispo, CA 93401 | 2019-01-03 |
| 1104307743 | Griffith Jennings | Counselor | 1225 Kendal Rd, San Luis Obispo, CA 93401 | 2018-08-22 |
| 1124518808 | Joy L Delaluna | Licensed Psychiatric Technician | 692 Evens Rd, San Luis Obispo, CA 93401 | 2018-05-17 |
| 1982192084 | Sierra Mental Wellness Group | Community/Behavioral Health | 2180 B Johnson Avenue, San Luis Obispo, CA 93401 | 2018-04-25 |
| 1326554403 | Veronica Chanel Laguna | Case Manager/Care Coordinator | 1065 Kansas Ave., San Luis Obispo, CA 93401 | 2017-12-27 |
| 1043739782 | Janette Lynn Branca | Case Manager/Care Coordinator | 285 South Street, Suit J, San Louis Obispo, CA 93401 | 2017-09-13 |
| 1588194104 | Adv Vision LLC | Optometrist | 835 Aero Vista Pl, #110, San Luis Obispo, CA 93401 | 2017-06-15 |
| 1508395880 | Samantha Clay | Counselor | 1255 Kendall Road, San Luis Obispo, CA 93401 | 2017-06-08 |
| 1659804771 | Sara Anne Powers | Counselor | 697 Higuera Street D, San Luis Obispo, CA 93401 | 2017-04-05 |
| 1508306010 | Russell Piazza | Pharmacist | 873 Ricardo Court, San Luis Obispo, CA 93401 | 2017-03-02 |
| Find all providers in zip 93401 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942447909 | Julie Ann Daggett | Psychologist | 1411 Marsh St, Ste. 104, San Luis Obispo, CA 93401-2957 | 2009-01-13 |
| 1831125996 | Carolyn Ann Murphy | Psychologist | 2178 Johnson Ave, San Luis Obispo County Mental Health, San Luis Obispo, CA 93401 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746650 | Alexandria Marie Schick | Psychologist | 2785 Cold Springs Rd Apt 31, Placerville, CA 95667-3240 | 2020-10-08 |
| 1841804853 | Nia Mayers Franklin | Psychologist | 8940 S Hobart Blvd, Los Angeles, CA 90047-3615 | 2020-09-08 |
| 1871104307 | Erania Marie Martin-lang | Psychologist | 13329 Arbor Park Ln, Moreno Valley, CA 92553-6916 | 2020-08-10 |
| 1366051070 | Shellie Renae Higuera | Psychologist | 5059 Day Dr, Fairfield, CA 94533-6597 | 2020-07-28 |
| 1730706979 | Oak Forest Recovery Center, Inc. | Psychologist | 5655 Lindero Canyon Rd Ste 425, Westlake Village, CA 91362-4046 | 2020-07-04 |
| 1861016842 | Valley Harvest Church of Merced | Psychologist | 557 W 26th St, Merced, CA 95340-2825 | 2020-06-04 |
| 1629691993 | Franklin Clifford Wimberly | Psychologist | 10 Pleasant Walk, Aliso Viejo, CA 92656-4266 | 2020-05-21 |
| 1790325694 | Pacific Forensic Psychology Associates, Inc | Psychologist | 19230 Sonoma Highway, Building 200, Sonoma, CA 95476 | 2020-01-09 |
| 1386282762 | Danielle Wischenka | Psychologist | 155 E Campbell Ave Ste 219, Campbell, CA 95008-2062 | 2019-12-16 |
| 1528525326 | Sylvia Cary | Psychologist | 4650 Sepulveda Blvd Apt 201, Sherman Oaks, CA 91403-2462 | 2019-02-28 |
| Find all providers with the same taxonomy | ||||
| City | SAN LUIS OBISPO |
| Zip Code | 93401 |
Please comment or provide details below to improve the information on DR. ERIC DAVID 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.