Eileen R Goldman, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

49102 Issued in CA

Practice address

2551 Grant Road
Mountain View, CA 94024

Phone

(408) 309-5957

NPI assigned

Oct 25, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1639479744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 CLEARVIEW DR",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321743",
            "telephone_number": "408-309-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 GRANT ROAD",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "94024",
            "telephone_number": "408-309-5957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "EILEEN",
        "middle_name": "R",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "49102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Gold, M.S., CCC-SLP
• Golden Grace Birth and Fitness
• Golden State Orthopedics & Spine
• Hannah Golden
• Goldleaf Homecare Network
• Flor Selene Gomez Esquivel
• Rosa Maria Briseno Gomez
• Salma Thalia Gomez
• Gary Goncalves
• Erika Guadalupe Gonzalez Juan

• Marriage & Family Therapist in Mountain View, CA
• Providers in Mountain View, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.