Individual provider Active NPI

Jonathan Gooblar, PH.D.

  • Clinical Psychologist
  • Union City, NJ
National Provider Identifier
1700363231
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
30227 Issued in CA
Practice address
500 Paterson Plank Rd Ste 31038
Union City, NJ 07087-3416
Phone
(415) 723-0408
NPI assigned
Jul 26, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 30227 CA Primary

Addresses

Primary practice location

500 Paterson Plank Rd Ste 31038
Union City, NJ 07087-3416

Mailing address

500 Paterson Plank Rd Ste 31038
Union City, NJ 07087-3416
Phone (415) 723-0408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
30227CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1700363231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PATERSON PLANK RD STE 31038",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070873416",
            "telephone_number": "415-723-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PATERSON PLANK RD STE 31038",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070873416",
            "telephone_number": "415-723-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOBLAR",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-26",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "30227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.