npidexNPI registry + Medicare data

JANIS GOLDMAN, PH.D., PSY.D.

Psychoanalysis Psychologist · LOS ANGELES, CA

Individual Active Opted out of Medicare NPI 1619195286

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Psychoanalysis Psychologist103TP0814X✓PSY 13191CA
Psychologist103T00000XPSY 13191CA
Clinical Psychologist103TC0700XPSY 13191CA
Clinical Child & Adolescent Psychologist103TC2200XPSY 13191CA
Family Psychologist103TF0000XPSY 13191CA

Medicare eligibility

Part B
Yes
DME
Yes
Home health
No
Power mobility
No
Hospice
No

Opted out of Medicare (Clinical Psychologist), effective 2017-10-01 through 2027-10-01.

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.