Active NPI
Steven Marshall Goldstein, PH.D.
- Psychologist
- Los Angeles, CA
National Provider Identifier
1386185080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 7992
- Practice address
- 1314 Westwood Blvd Ste 106
Los Angeles, CA 90024-4972 - Phone
- (323) 653-4206
- NPI assigned
- Mar 14, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 7992 | CA | Primary |
Addresses
Primary practice location
1314 Westwood Blvd Ste 106
Los Angeles, CA 90024-4972
Mailing address
11740 Wilshire Blvd Apt A2501
Los Angeles, CA 90025-6534
Phone (323) 653-4206
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 25, 2024 through Aug 25, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 7992 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489449600000",
"number": "1386185080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11740 WILSHIRE BLVD APT A2501",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900256534",
"telephone_number": "323-653-4206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 WESTWOOD BLVD STE 106",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900244972",
"telephone_number": "323-653-4206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "STEVEN",
"middle_name": "MARSHALL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-14",
"last_updated": "2017-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 7992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.