SOPHIA EVELYN MIMI GOLDBERG


Address: 4101 Macdonald Ave, Richmond, CA 94805-2333
Phone: (510) 412-9200

SOPHIA EVELYN MIMI GOLDBERG (NPI# 1942729074) 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) 1942729074
Entity Type Individual
Full Name SOPHIA EVELYN MIMI GOLDBERG
Practice Address 4101 Macdonald Ave
Richmond
CA 94805-2333
Practice Telephone (510) 412-9200
Mailing Telephone 5104129200
Enumeration Date 2017-09-09
Last Update Date 2017-09-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
WA UNITED HEALTHCARE 900141226 01

Office Location

Street Address 4101 MACDONALD AVE
City RICHMOND
State CA
Zip Code 94805-2333

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730245788 Caitlin Adams Binstadt Counselor 4101 Macdonald Ave, Richmond, CA 94805-2333 2006-12-27
1275937856 Gursimer Bhullar Counselor 4101 Macdonald Ave, Richmond, CA 94805-2333 2014-10-10
1619377611 Elise Middleton Counselor 4101 Macdonald Ave, Richmond, CA 94805-2333 2014-08-26
1447671151 Alma Rivera Counselor 4101 Macdonald Ave, Richmond, CA 94805-2333 2013-12-23
1336579150 Sami Qreini Social Worker 4101 Macdonald Ave, Richmond, CA 94805-2333 2013-11-14
1356777049 Elizabeth Ann West Counselor 4101 Macdonald Ave, Richmond, CA 94805-2333 2013-09-25
1285912576 Jeanette Iola Williams Counselor 4101 Macdonald Ave, Richmond, CA 94805-2333 2011-08-03
1841585387 Mariela Salomon Marriage & Family Therapist 4101 Macdonald Ave, Richmond, CA 94805-2333 2011-06-13
1992095095 Lorena Caldera Marriage & Family Therapist 4101 Macdonald Ave, Richmond, CA 94805-2333 2011-04-11
1801103122 Chere Douglas Counselor 4101 Macdonald Ave, Richmond, CA 94805-2333 2010-09-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134622038 Edward Trujano Behavioral Analyst 616 40th St, Richmond, CA 94805 2018-03-16
1568900439 John Edward Tysell Jr. Internal Medicine 437 Carlston Street, Richmond, CA 94805 2017-02-10
1043661952 Alejandra Cardenas Counselor 4101 Macdonald Avenue, Richmond, CA 94805 2016-06-22
1568582229 Susan Denny Marriage & Family Therapist 207 37th Street, Richmond, CA 94805 2007-03-29
1548312689 Wendy E Maron Marriage & Family Therapist 630 Humboldt St, Richmond, CA 94805 2007-01-17
1518015866 Community Health for Asian Americans Community/Behavioral Health 207 37th St, Richmond, CA 94805 2007-01-05
1215496799 Makenna Newton Counselor 303 41st St, Richmond, CA 94805 2019-03-14
1508399189 Alejandra Olguin Social Worker 205 39th St, Richmond, CA 94805 2017-04-10
1760872451 Deyda Mendoza Counselor 205 39th St, Richmond, CA 94805 2015-02-02
1245664036 Leonard Deguzman Counselor 207 37th St, Richmond, CA 94805 2013-08-28
Find all providers in zip 94805

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932708666 Candice Carriere Student in an Organized Health Care Education/Training Program 211 Terrace Creek Ct, Richmond, TX 77406-3590 2020-10-23
1548867500 Daniel Bailey Jr. Student in an Organized Health Care Education/Training Program 6211 Gilchrist Ave, Richmond, VA 23231-4723 2020-10-02
1659987899 Chinwe Nwakaego Dike Student in an Organized Health Care Education/Training Program 8023 Bueller Pass Ln, Richmond, TX 77407-1824 2020-09-22
1073127924 Yuzuru Sambommatsu Student in an Organized Health Care Education/Training Program Vcuhs Dept of Transplant Surgery Fellowship, 980057, 1250 E. Marshall Street, Richmond, VA 23298-0057 2020-09-08
1639782949 Vannarong Keo Student in an Organized Health Care Education/Training Program 805 Sam Christopher Ct, Richmond, KY 40475-3048 2020-08-26
1770100646 Reva Jain Student in an Organized Health Care Education/Training Program 171 Reid Ln, Richmond, CA 94801-1711 2020-06-26
1477178077 Robert Cole Schmidt Student in an Organized Health Care Education/Training Program Vcu Department of Orthopedics Residency, 980153, 1250 E Marshall St, Richmond, VA 23298-0153 2020-06-10
1144845900 Alexandra Ernst Student in an Organized Health Care Education/Training Program 1250 E Marshal Street, Vcuhs Dept of Orth Residency 980153, Richmond, VA 23298-0153 2020-06-08
1346865136 Virginia Hamilton Behlen Lucas Student in an Organized Health Care Education/Training Program 1201 Broad Rock Blvd Rm 1k, Richmond, VA 23249-0001 2020-06-08
1023632817 Francis Jefferson Oser II Student in an Organized Health Care Education/Training Program Vcuhs Dept of Surg, 980645, 1250 E Marshall, Richmond, VA 23298-0645 2020-06-08
Find all providers in RICHMOND

Competitor

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City RICHMOND
Zip Code 94805

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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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