Organization Active NPI

Jory F. Goodman MD PC

  • Psychiatry Physician
  • Beverly Hills, CA
National Provider Identifier
1487890950
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G34802 Issued in CA
Legal business name
JORY F. GOODMAN MD PC
Practice address
9730 Wilshire Blvd.
Suite 216a
Beverly Hills, CA 90212-2030
Phone
(310) 858-1700
Fax
(310) 887-4708
NPI assigned
Jan 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

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

Authorized official

Name
Jory Frederic Goodman, MDNPI 1689654550
Title
President
Phone
(310) 858-1700

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X G34802 CA Primary

Addresses

Primary practice location

9730 Wilshire Blvd.
Suite 216a
Beverly Hills, CA 90212-2030

Mailing address

9730 Wilshire Blvd.
Suite 216a
Beverly Hills, CA 90212-2030
Phone (310) 858-1700

National Provider Directory

National Provider Directory

Locations

9730 Wilshire Blvd
Ste 216A
Beverly Hills, CA 90212
Phone (310) 858-1700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1487890950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9730 WILSHIRE BLVD.",
            "address_2": "SUITE 216A",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122030",
            "telephone_number": "310-858-1700",
            "fax_number": "310-887-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 WILSHIRE BLVD.",
            "address_2": "SUITE 216A",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122030",
            "telephone_number": "310-858-1700",
            "fax_number": "310-887-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORY F. GOODMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-05",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "JORY",
        "authorized_official_middle_name": "FREDERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-858-1700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G34802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; 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.