Organization Active NPI

Julie Goalwin, PH.D. a Psychological Corporation

  • Clinical Psychologist
  • Long Beach, CA
National Provider Identifier
1003448218
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
JULIE GOALWIN, PH.D. A PSYCHOLOGICAL CORPORATION
Practice address
115 Pine Ave Ste 640
Long Beach, CA 90802-4452
Phone
(562) 364-8587
Fax
(562) 364-8588
NPI assigned
Feb 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Julie Goalwin, PH.D.
Title
Owner
Phone
(562) 364-8587

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

115 Pine Ave Ste 640
Long Beach, CA 90802-4452

Mailing address

115 Pine Ave Ste 640
Long Beach, CA 90802-4452
Phone (562) 364-8587

National Provider Directory

National Provider Directory

Locations

115 Pine Ave
Ste 640
Long Beach, CA 90802
Phone (562) 364-8587

5255 Pomona Blvd
Ste 10
Los Angeles, CA 90022
Phone (562) 364-8587

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1003448218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PINE AVE STE 640",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024452",
            "telephone_number": "562-364-8587",
            "fax_number": "562-364-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PINE AVE STE 640",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024452",
            "telephone_number": "562-364-8587",
            "fax_number": "562-364-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE GOALWIN, PH.D. A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "GOALWIN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-364-8587",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.