Active NPI
Virginia Goodwind, DOCTOR OF PSYCHOLOGY
- Clinical Neuropsychologist
- Yountville, CA
National Provider Identifier
1063661866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- Practice address
- 200 California Drive
Holderman Hospital Medical Staff
Yountville, CA 94599-1412 - Phone
- (510) 717-5703
- NPI assigned
- Sep 16, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | Primary |
Addresses
Primary practice location
200 California Drive
Holderman Hospital Medical Staff
Yountville, CA 94599-1412
Mailing address
PO Box 396
Rutherford, CA 94573-0396
Phone (510) 717-5703
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106366186 | Other | NATIONAL PROFESSIONAL IDENTIFIER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234483200000",
"number": "1063661866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 396",
"city": "RUTHERFORD",
"state": "CA",
"postal_code": "945730396",
"telephone_number": "510-717-5703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 CALIFORNIA DRIVE",
"address_2": "HOLDERMAN HOSPITAL MEDICAL STAFF",
"city": "YOUNTVILLE",
"state": "CA",
"postal_code": "945991412",
"telephone_number": "510-717-5703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIND",
"first_name": "VIRGINIA",
"name_prefix": "Dr.",
"credential": "DOCTOR OF PSYCHOLOGY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-16",
"last_updated": "2009-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL PROFESSIONAL IDENTIFIER NUMBER",
"identifier": "106366186",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Yountville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.