Individual provider Active NPI

Lila R Goldsman, PH.D.

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1518066091
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY16331 Issued in CA
Practice address
6535 Wilshire Blvd
Suite 107
Los Angeles, CA 90048-4905
Phone
(323) 933-9492
Fax
(323) 651-2437
NPI assigned
Sep 21, 2006
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
Clinical Psychologist 103TC0700X PSY16331 CA Primary

Addresses

Primary practice location

6535 Wilshire Blvd
Suite 107
Los Angeles, CA 90048-4905

Mailing address

6535 Wilshire Blvd
Suite 107
Los Angeles, CA 90048-4905
Phone (323) 933-9492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161003002248 CA Practitioner - Clinical Psychologist 2961799150 Practice locations: Claremont, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY16331CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kalpesh Bhavsar MD Professional Corporation PastSince Mar 1, 2020 Accepting new patients
Hot Line Homecare PastSince Jun 1, 2021 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518066091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6535 WILSHIRE BLVD",
            "address_2": "SUITE 107",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484905",
            "telephone_number": "323-933-9492",
            "fax_number": "323-651-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 WILSHIRE BLVD",
            "address_2": "SUITE 107",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484905",
            "telephone_number": "323-933-9492",
            "fax_number": "323-651-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSMAN",
        "first_name": "LILA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY16331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.