Theodore a. Goodman MD Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G35973 Issued in CA

Legal business name

THEODORE A. GOODMAN MD INC.

Doing business as

Psychiatric Intervention Medical Associates Inc.

Practice address

1341 Burnett Way
Sacramento, CA 95818-2221

Phone

(916) 452-5909

Fax

(916) 943-0790

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Theodore Avram Goodman, MDNPI 1841386471

Title

President

Phone

(916) 452-5909

Specialties & licenses 1

Addresses

Other names 1

• Psychiatric Intervention Medical Associates Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Theodore Avram Goodman, MD

  • Psychiatry Physician
  • Sacramento, CA
  • NPI 1841386471
  Medicare reassignment NPD Authorized official
• Robert L. Blanco, M.D.

  • Psychiatry Physician
  • Sacramento, CA
  • NPI 1619065513
  Medicare reassignment NPD
• Nicole Pardo, MD

  • Psychiatry Physician
  • Sacramento, CA
  • NPI 1083928212
  NPD
• Denali Tice, M.D.

  • Psychiatry Physician
  • Folsom, CA
  • NPI 1508124660
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1174618748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 FOLSOM BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95826",
            "telephone_number": "916-386-3645",
            "fax_number": "916-386-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 BURNETT WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958182221",
            "telephone_number": "916-452-5909",
            "fax_number": "916-943-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE A. GOODMAN MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "AVRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-452-5909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G35973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychiatric Intervention Medical Associates Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Themoleas
• Jessica L. Theno, CRNP
• Thenutribloom
• Ann Theobald, CP
• Nicholas J Theobald, CRNA
• Christina Theodorou, M.D.
• Coby Theodosis, RRT
• Nathan Shawn Peralta Thephavongsa
• Shynice Therman
• Marcus Theus, MD

• Psychiatry Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.