Amy Marie Goudreau

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

146352 Issued in CA

Practice address

2150 Stockton Blvd
Sacramento, CA 95817-1337

Phone

(916) 875-1000

NPI assigned

Nov 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779494400000",
    "number": "1730847435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6834 DOMINGO DR",
            "city": "RANCHO MURIETA",
            "state": "CA",
            "postal_code": "956839474",
            "telephone_number": "916-501-9927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 STOCKTON BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958171337",
            "telephone_number": "916-875-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14670 Cantova Way Ste 222",
            "address_purpose": "LOCATION",
            "city": "Rancho Murieta",
            "state": "CA",
            "postal_code": "956839009",
            "country_code": "US",
            "telephone_number": "916-461-9993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOUDREAU",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-30",
        "last_updated": "2026-05-23",
        "certification_date": "2026-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "150967",
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": "146352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Fadel Gotimer, D.O.
• Alina Gotishan
• Jessica Gott
• Erin Leann Gottis
• Catherine Dolores Goudberg, CNS
• Brian David Goudy, M.D.
• Lakeisha Goudy
• Anthony Gouge, PPS
• Michael Richard Goularte
• Daniel Gould, LCSW

• Rehabilitation Practitioner in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2026; 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.