Brian David Goldberg, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY32643 Issued in CA

Practice address

3550 Wilshire Blvd Ste 670
Los Angeles, CA 90010-2436

Phone

(213) 384-7660

NPI assigned

Jan 18, 2023

Last updated

Jan 18, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Casa de la Familia

  • Voluntary or Charitable Agency
  • Santa Ana, CA
  • NPI 1811081698
  NPD (past)
• Nogales Psychological Counseling, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Santa Ana, CA
  • NPI 1275628307
  NPD (past)

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1215642871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 WILSHIRE BLVD STE 670",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102436",
            "telephone_number": "213-384-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 WILSHIRE BLVD STE 670",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102436",
            "telephone_number": "213-384-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "BRIAN",
        "middle_name": "DAVID",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY32643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bdgoldberg@nogalespsychological.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3550 Wilshire Blvd Ste 670",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900102436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vivian Janice Gold, PHD.
• Warren Frederick Gold, MD
• Goldberg Psychiatry
• Aryeh Lee Goldberg
• Bradley Samuel Goldberg, M.D.
• Bruce J. Goldberg, MD
• Cory Scot Goldberg, M.D.
• Hannah Lowinger Goldberg, MSN,PNP-PC,PMHNP-BC
• Jaime Hope Goldberg, MSW
• Jana Marie Goldberg, M.D.

• Clinical Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.