Individual provider Active NPI

Judith Lawrence Goodstein, PH.D.

  • Clinical Psychologist
  • Washington, DC
National Provider Identifier
1144370081
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1232 Issued in DC
Practice address
3531 Albemarle St NW
Washington, DC 20008-4213
Phone
(202) 363-2421
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1232 DC Primary

Addresses

Primary practice location

3531 Albemarle St NW
Washington, DC 20008-4213

Mailing address

3531 Albemarle St NW
Washington, DC 20008-4213
Phone (202) 363-2421

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2013 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1232DCMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144370081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3531 ALBEMARLE ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200084213",
            "telephone_number": "202-363-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3531 ALBEMARLE ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200084213",
            "telephone_number": "202-363-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODSTEIN",
        "first_name": "JUDITH",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "1232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.