Active NPI
Carolyn Goldstein-Hidalgo
- Marriage & Family Therapist
- Concord, CA
National Provider Identifier
1770612814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 52045
- Practice address
- 2975 Treat Blvd Ste 5
Concord, CA 94518-3601 - Phone
- (925) 219-9009
- Fax
- (925) 940-9685
- NPI assigned
- Mar 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-16-22294 | CO | |
| Marriage & Family Therapist | 106H00000X | MFC 52045 | CA | Primary |
Addresses
Primary practice location
2975 Treat Blvd Ste 5
Concord, CA 94518-3601
Mailing address
2975 Treat Blvd Ste 5
Concord, CA 94518-3601
Phone (925) 219-9009
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 52045 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581984000000",
"number": "1770612814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2975 TREAT BLVD STE 5",
"city": "CONCORD",
"state": "CA",
"postal_code": "945183601",
"telephone_number": "925-219-9009",
"fax_number": "925-940-9685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2975 TREAT BLVD STE 5",
"city": "CONCORD",
"state": "CA",
"postal_code": "945183601",
"telephone_number": "925-219-9009",
"fax_number": "925-940-9685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN-HIDALGO",
"first_name": "CAROLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CO",
"license": "1-16-22294",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 52045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.