Annette Rosa Goldman, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY23504 Issued in CA

Practice address

731A 2ND Ave
San Francisco, CA 94118-4020

Phone

(415) 517-9235

NPI assigned

May 13, 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

Other names 1

• Dr. Annette Rosa Goldman Mosqueda Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Clinical Integrative Services, Inc

  • Clinical Psychologist
  • San Mateo, CA
  • NPI 1801467055
  NPD Authorized official

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

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1679891790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731A 2ND AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941184020",
            "telephone_number": "415-517-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731A 2ND AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941184020",
            "telephone_number": "415-517-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "ANNETTE",
        "middle_name": "ROSA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-13",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY23504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNETTE",
            "last_name": "GOLDMAN MOSQUEDA",
            "middle_name": "ROSA",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Anna Sue Goldmacher, NURSE
• Alison Mara Goldman, PSY.D.
• Amber Goldman, LCSW, PPSC
• Amy S Goldman, LCSW
• Amy T Goldman, PSYD
• Daryl-Anne Goldman, PH.D.
• David Jay Goldman, MFT
• Eileen Goldman, LCSW
• Eric S. Goldman, M.D.
• Gabriella Simone Goldman

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.