Judy Goodman Fermin, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY14403 Issued in CA

Practice address

9500 Gilman Drive #0304
La Jolla, CA 92093

Phone

(858) 534-9079

Fax

(858) 534-2628

NPI assigned

Apr 29, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1124293204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 GILMAN DRIVE #0304",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92093",
            "telephone_number": "858-534-9079",
            "fax_number": "858-534-2628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 GILMAN DRIVE #0304",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "92093",
            "telephone_number": "858-534-9079",
            "fax_number": "858-534-2628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN FERMIN",
        "first_name": "JUDY",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY14403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron Gonzalez
• Christine Alexandria Gonzalez, PA-C
• Hernan Francisco Jose Gonzalez, MD, PHD
• Jeremiah Richard Gonzalez, NP
• Jorge A Gonzalez, M.D.
• Dennis A Goodman, M.D.
• Zachary T. Goodman, PHD
• Louis James Goodrich, D.O.
• Srila Gopal, M.D.
• Debbie Gordon, ANP-C

• Clinical Psychologist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.