Active NPI
Maia Godliman, PSYD
- Clinical Psychologist
- Agoura Hills, CA
National Provider Identifier
1790367266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 36158
- Practice address
- 5012 Chesebro Rd Ste 200
Agoura Hills, CA 91301-2287 - Phone
- (925) 282-1778
- NPI assigned
- Apr 24, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 36158 | CA | Primary |
Addresses
Primary practice location
5012 Chesebro Rd Ste 200
Agoura Hills, CA 91301-2287
Mailing address
5012 Chesebro Rd Ste 200
Agoura Hills, CA 91301-2287
Phone (925) 282-1778
Other practice location 1
1 Colony Drive
San Luis Obispo, CA 93409-0001
Phone (805) 547-7900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260624002045 | CA | Practitioner - Clinical Psychologist | 5294208963 |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630
490 Post St
San Francisco, CA 94102-1301
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36158 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1790367266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5012 CHESEBRO RD STE 200",
"city": "AGOURA HILLS",
"state": "CA",
"postal_code": "913012287",
"telephone_number": "925-282-1778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5012 CHESEBRO RD STE 200",
"city": "AGOURA HILLS",
"state": "CA",
"postal_code": "913012287",
"telephone_number": "925-282-1778"
}
],
"practiceLocations": [
{
"address_1": "1 Colony Drive",
"address_purpose": "LOCATION",
"city": "San Luis Obispo",
"state": "CA",
"postal_code": "934090001",
"country_code": "US",
"telephone_number": "805-547-7900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GODLIMAN",
"first_name": "MAIA",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-24",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "36158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Agoura Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.