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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | UNITED HEALTHCARE | 900141226 | 01 |
Street Address |
4101 MACDONALD AVE |
City | RICHMOND |
State | CA |
Zip Code | 94805-2333 |
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 |
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 Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
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] |
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 |
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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.