Individual provider Active NPI

Rebecca Sue Goodman, PH.D.

  • Clinical Neuropsychologist
  • Santa Barbara, CA
National Provider Identifier
1831188291
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY 14559 Issued in CA
Practice address
22 W Micheltorena St
Suite B
Santa Barbara, CA 93101-6522
Phone
(805) 563-2644
Fax
(805) 682-2118
NPI assigned
Oct 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY 14559 CA Primary

Addresses

Primary practice location

22 W Micheltorena St
Suite B
Santa Barbara, CA 93101-6522

Mailing address

22 W Micheltorena St
Suite B
Santa Barbara, CA 93101-6522
Phone (805) 563-2644

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101110000587 CA Practitioner - Clinical Psychologist 5890980304 Reassigns benefits to 1 organization
Practice locations: Santa Barbara, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5266 Hollister Ave
Suite A104
Goleta, CA 93111-2037
Phone (805) 699-5810

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14559CAMDCounselor
PSY 14559CAMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rebecca S. Goodman, PH.D., Psychologist, Inc. Clinical Neuropsychologist CurrentSince Jun 1, 2021 Accepting new patients

Locations

22 W Micheltorena St
Ste B
Santa Barbara, CA 93101
Phone (805) 637-5438

5266 Hollister Ave
Ste A104
Santa Barbara, CA 93111
Phone (805) 699-5810

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1831188291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 W MICHELTORENA ST",
            "address_2": "SUITE B",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931016522",
            "telephone_number": "805-563-2644",
            "fax_number": "805-682-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W MICHELTORENA ST",
            "address_2": "SUITE B",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931016522",
            "telephone_number": "805-563-2644",
            "fax_number": "805-682-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "REBECCA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY 14559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.