Active NPI
G.O.a.L.S. for Women
- Community/Behavioral Health Agency
- Berkeley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- G.O.A.L.S. FOR WOMEN
- Practice address
- 3356 Adeline St
Office #3
Berkeley, CA 94703-2737 - Phone
- (510) 334-0003
- Fax
- (888) 847-9365
- NPI assigned
- Nov 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Gwendolyn Rochelle Wilson, MSW / LCSW
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
3356 Adeline St
Office #3
Berkeley, CA 94703-2737
Mailing address
1217 Del Paso Blvd Ste a
Office #3
Sacramento, CA 95815-2737
Phone (916) 754-7610
National Provider Directory
National Provider Directory- Tax ID family
- Goals for Women
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Sacramento, CA
- NPI 1124468145
Locations
3356 Adeline St
Ofc 3
Berkeley, CA 94703
Phone (510) 334-0003
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Sacramento, CA
- NPI 1043491624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1494547200000",
"number": "1225219801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1217 DEL PASO BLVD STE A",
"address_2": "OFFICE #3",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958152737",
"telephone_number": "916-754-7610",
"fax_number": "888-847-9365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3356 ADELINE ST",
"address_2": "OFFICE #3",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947032737",
"telephone_number": "510-334-0003",
"fax_number": "888-847-9365"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "G.O.A.L.S. FOR WOMEN",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-23",
"last_updated": "2017-05-12",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "GWENDOLYN",
"authorized_official_middle_name": "ROCHELLE",
"authorized_official_title_or_position": "EXECUTIVE/CLINICAL DIRECTOR/CEO",
"authorized_official_telephone_number": "510-334-0003",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MSW / LCSW"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berkeley, 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.