Individual provider Active NPI

Danielle R Goldman

  • Marriage & Family Therapist
  • Calabasas, CA
National Provider Identifier
1043706096
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
135053 Issued in CA
Practice address
23564 Calabasas Rd Ste 208
Calabasas, CA 91302-1339
Phone
(805) 312-8675
NPI assigned
Jul 2, 2018
Reactivated
Aug 29, 2019
Last updated
Aug 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X
Marriage & Family Therapist 106H00000X 135053 CA Primary

Addresses

Primary practice location

23564 Calabasas Rd Ste 208
Calabasas, CA 91302-1339

Mailing address

PO Box 6691
Woodland Hills, CA 91365-6691
Phone (805) 312-8675

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
135053CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Danielle Kumanchik Marriage and Family Therapy Inc Current Accepting new patients

Locations

23564 Calabasas Rd
Ste 208
Calabasas, CA 91302
Phone (310) 916-6549

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1043706096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6691",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913656691",
            "telephone_number": "805-312-8675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23564 CALABASAS RD STE 208",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021339",
            "telephone_number": "805-312-8675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "DANIELLE",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "deactivation_date": "2019-08-13",
        "reactivation_date": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "135053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

Verify at the official NPI Registry.