Marcie I. Goldman, PH.D, Psychologist, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY14404 Issued in CA

Legal business name

MARCIE I. GOLDMAN, PH.D, PSYCHOLOGIST, INC.

Practice address

4452 Park Blvd Ste 101
San Diego, CA 92116-4039

Phone

(619) 952-8077

NPI assigned

Feb 18, 2010

Last updated

Feb 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marcie Ilene Goldman, PH.D.NPI 1427150879

Title

Ceo/ Psychologist

Phone

(619) 952-8077

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marcie Ilene Goldman, PHD

  • Psychologist
  • San Diego, CA
  • NPI 1427150879
  Medicare reassignment NPD Authorized official
• Diane K. Pendragon, PSY.D.

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1033316468
  NPD (past)

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1578885513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 BANCROFT ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921022430",
            "telephone_number": "619-952-8077",
            "fax_number": "619-239-7335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4452 PARK BLVD STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921164039",
            "telephone_number": "619-952-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCIE I. GOLDMAN, PH.D, PSYCHOLOGIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "MARCIE",
        "authorized_official_middle_name": "ILENE",
        "authorized_official_title_or_position": "CEO/ PSYCHOLOGIST",
        "authorized_official_telephone_number": "619-952-8077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY14404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daisy Marcial
• Luann Emelia Marcial
• Lani Marciano
• Orry J Marciano II, PA
• Anthony Joseph Marciante, DDS
• Roman John Marciniak
• Joseph Lee Marcle, LMFT
• Marco Chavez MD Corp
• Marco Savittieri, DDS., Inc.
• Brandi Marie Marcoe Saffle, LCSW

• Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.