NPIMap

Organization Active NPI

G.O.a.L.S. for Women

  • Community/Behavioral Health Agency
  • Sacramento, CA
National Provider Identifier
1124468145
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
24677 Issued in CA
Legal business name
G.O.A.L.S. FOR WOMEN
Practice address
1217 Del Paso Blvd Ste a
Sacramento, CA 95815-3660
Phone
(916) 621-3783
Fax
(888) 847-9365
NPI assigned
Jul 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Authorized official

Name
Ms. Gwendolyn R Wilson, LCSWNPI 1043491624
Title
Executive/Clinical Director/Ceo
Phone
(510) 334-0003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X LCS 24677 CA
Community/Behavioral Health Agency 251S00000X 24677 CA Primary
Early Intervention Provider Agency 252Y00000X LCS 24677 CA

Addresses

Primary practice location

1217 Del Paso Blvd Ste a
Sacramento, CA 95815-3660

Mailing address

1217 Del Paso Blvd Ste a
Sacramento, CA 95815-3660
Phone (916) 621-3783

National Provider Directory

National Provider Directory
Tax ID family
Goals for Women2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1217 Del Paso Blvd
Ste A
Sacramento, CA 95815
Phone (916) 621-3783

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1124468145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 DEL PASO BLVD STE A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958153660",
            "telephone_number": "916-621-3783",
            "fax_number": "888-847-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 DEL PASO BLVD STE A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958153660",
            "telephone_number": "916-621-3783",
            "fax_number": "888-847-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G.O.A.L.S. FOR WOMEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-05",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE/CLINICAL DIRECTOR/CEO",
        "authorized_official_telephone_number": "510-334-0003",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "CA",
            "license": "LCS 24677",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "24677",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "CA",
            "license": "LCS 24677",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.