Theodore James Goldsmith, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY29425 Issued in CA

Practice address

1031 W 34TH St FL 3
Los Angeles, CA 90089

Phone

(213) 740-7711

Fax

(213) 740-6815

NPI assigned

Dec 7, 2017

Last updated

Jul 20, 2018By the provider in NPPES

Sex

Male

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)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532044800000",
    "number": "1821503236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 WESTWOOD PLAZA, SUITE 2437",
            "address_2": "BOX 951556",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900951556",
            "telephone_number": "310-825-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 W 34TH ST FL 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90089",
            "telephone_number": "213-740-7711",
            "fax_number": "213-740-6815"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1520 San Pablo St Ste 1652",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900335321",
            "country_code": "US",
            "telephone_number": "323-442-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1520 San Pablo St Ste 1652",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900335321",
            "country_code": "US",
            "telephone_number": "323-442-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1031 W 34th St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900890093",
            "country_code": "US",
            "telephone_number": "213-740-7711 x02571",
            "fax_number": "213-740-6815",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1031 W 34th St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900890093",
            "country_code": "US",
            "telephone_number": "213-740-7711 x02571",
            "fax_number": "213-740-6815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSMITH",
        "first_name": "THEODORE",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-07",
        "last_updated": "2018-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY29425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Ethan Goldsmith, M.A., MFT
• Mija Goldsmith, CFNP
• Nathan Goldsmith
• Oliver A. Goldsmith, MD
• Patricia Sturdy Goldsmith, PH.D.
• Aaron Goldstein, DDS
• Abby Jaye Goldstein
• Alison Goldstein, M.A., MFT
• Amanda Goldstein, MD
• Barbara Z Goldstein, PHD

• Clinical Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2018; 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.