Individual provider Active NPI

Judith M. Goglia, MFT

  • Marriage & Family Therapist
  • Murphys, CA
National Provider Identifier
1386721918
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC27193 Issued in CA
Practice address
150 Big Trees Rd
Murphys, CA 95247-9101
Phone
(209) 728-2488
Fax
(530) 622-2793
NPI assigned
Nov 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
Marriage & Family Therapist 106H00000X MFC27193 CA Primary

Addresses

Primary practice location

150 Big Trees Rd
Murphys, CA 95247-9101

Mailing address

PO Box 11
Arnold, CA 95223-0011
Phone (209) 728-2488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC27193CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386721918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11",
            "city": "ARNOLD",
            "state": "CA",
            "postal_code": "952230011",
            "telephone_number": "209-728-2488",
            "fax_number": "530-622-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BIG TREES RD",
            "city": "MURPHYS",
            "state": "CA",
            "postal_code": "952479101",
            "telephone_number": "209-728-2488",
            "fax_number": "530-622-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOGLIA",
        "first_name": "JUDITH",
        "middle_name": "M.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC27193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphys, CA

Sources for this page

Verify at the official NPI Registry.