Rebecca S. Goodman, PH.D., Psychologist, Inc.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

REBECCA S. GOODMAN, PH.D., PSYCHOLOGIST, INC.

Practice address

22 W Micheltorena St Ste B
Santa Barbara, CA 93101-6525

Phone

(805) 699-5810

NPI assigned

Feb 21, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Rebecca Sue Goodman, PHDNPI 1831188291

Title

Owner

Phone

(805) 699-5810

Specialties & licenses 1

Addresses

Other names 1

• Rebecca Goodman, PhD Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Rebecca Sue Goodman, PH.D.

  • Clinical Neuropsychologist
  • Santa Barbara, CA
  • NPI 1831188291
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1550707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550707200000",
    "number": "1679030175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 W MICHELTORENA ST STE B",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931016525",
            "telephone_number": "805-699-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W MICHELTORENA ST STE B",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931016525",
            "telephone_number": "805-699-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA S. GOODMAN, PH.D., PSYCHOLOGIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-21",
        "last_updated": "2019-02-21",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-699-5810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rebecca Goodman, PhD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Micah Steven Rea
• Paul Dean Rea, MA
• Zed Majerus Reagan, MD
• Doris Lynn Reagen, CNM
• Andrew P Reardon
• Jeffrey Michael Rebhun, MD
• Camdyn Rose Rechenmacher
• Laurie Lissette Recinos Gomez, MFT
• Joselin Alicia Recinos
• Marissa Record

• Clinical Neuropsychologist in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.