Debra Goldblatt, M.F.T.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFC37918 Issued in CA

Practice address

509 Marin St
Suite 234
Thousand Oaks, CA 91360-4261

Phone

(805) 777-7113

Fax

(805) 241-9878

NPI assigned

May 13, 2008

Last updated

May 13, 2008By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1699942250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 MARIN ST",
            "address_2": "SUITE 234",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604261",
            "telephone_number": "805-777-7113",
            "fax_number": "805-241-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 MARIN ST",
            "address_2": "SUITE 234",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604261",
            "telephone_number": "805-777-7113",
            "fax_number": "805-241-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBLATT",
        "first_name": "DEBRA",
        "credential": "M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC37918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laal Mehri Golbadi
• Katy Golbar, MFT
• Robert A Gold, MD
• Karyn Jill Goldberg, D.C.
• Michael H. Goldberg, M.D.
• Andrew Jason Goldenberg, D.D.S.
• Ellyn S. Goldstein, MS
• Ronald L. Goldstein, O.D.
• Michael H Gollub, M.D.
• Stephanie Golnik, MPT,DPT,CLT

• Mental Health Counselor in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.