Individual provider Active NPI

Ariel Goldstein, PHD

  • Psychologist
  • Santa Barbara, CA
National Provider Identifier
1578042248
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
1227 De la Vina St
Santa Barbara, CA 93101-3129
Phone
(805) 670-4829
NPI assigned
Aug 13, 2018
Last updated
Apr 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

1227 De la Vina St
Santa Barbara, CA 93101-3129

Mailing address

1227 De la Vina St
Santa Barbara, CA 93101-3129
Phone (805) 670-4829

Other practice location 1

15339 Saticoy St
Van Nuys, CA 91406-3345
Phone (818) 267-2681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 7, 2022 through Jul 7, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
32497CAMDLicensed Psychiatric Technician

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1578042248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 DE LA VINA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013129",
            "telephone_number": "805-670-4829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 DE LA VINA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931013129",
            "telephone_number": "805-670-4829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15339 Saticoy St",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914063345",
            "country_code": "US",
            "telephone_number": "818-267-2681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "ARIEL",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-13",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.