Organization Active NPI

Don M Goodman Inc.

  • Clinical Psychologist
  • Thousand Oaks, CA
National Provider Identifier
1023342805
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 22613 Issued in CA
Legal business name
DON M GOODMAN INC.
Practice address
123 Hodencamp Rd Ste 103
Thousand Oaks, CA 91360-5833
Phone
(818) 917-4524
Fax
(800) 878-7720
NPI assigned
Sep 25, 2009
Last updated
Mar 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Authorized official

Name
Dr. Donald Mitchell Goodman, PH.D.NPI 1871724518
Title
Clinical Psychologist
Phone
(818) 917-4524

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TB0200X PSY 22613 CA
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X PSY 22613 CA Primary
Health PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TH0004X PSY 22613 CA
Group Psychotherapy PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TP2701X PSY 22613 CA

Addresses

Primary practice location

123 Hodencamp Rd Ste 103
Thousand Oaks, CA 91360-5833

Mailing address

123 Hodencamp Rd Ste 103
Thousand Oaks, CA 91360-5833
Phone (818) 917-4524

Other identifiers 1

IdentifierTypeStateIssuer
1871724518OtherCANPI

National Provider Directory

National Provider Directory

Locations

270 26th St
Ste 202
Santa Monica, CA 90402
Phone (310) 748-8393

101 Hodencamp Rd
Ste 114
Thousand Oaks, CA 91360
Phone (805) 490-0455

5743 Corsa Ave
Ste 125
Westlake Village, CA 91362
Phone (805) 493-5155

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1023342805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 HODENCAMP RD STE 103",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605833",
            "telephone_number": "818-917-4524",
            "fax_number": "805-449-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HODENCAMP RD STE 103",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605833",
            "telephone_number": "818-917-4524",
            "fax_number": "800-878-7720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DON M GOODMAN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-25",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "818-917-4524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "PSY 22613",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 22613",
            "primary": true
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Health",
            "state": "CA",
            "license": "PSY 22613",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "CA",
            "license": "PSY 22613",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1871724518",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.