NPIMap

Organization Active NPI

Goudsmit Psychology, PLLC

  • Clinical Neuropsychologist
  • Los Angeles, CA
National Provider Identifier
1902246341
Registry record updated Jan 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
28867 Issued in CA
Legal business name
GOUDSMIT PSYCHOLOGY, PLLC
Practice address
640 S San Vicente Blvd Ste 476
Los Angeles, CA 90048-4661
Phone
(323) 852-3171
NPI assigned
Jun 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2018

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

Authorized official

Name
Dr. Nora Goudsmit, PH.D.
Title
Clinical Psychologist
Phone
(323) 852-3171

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X 019531 NY
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X 28867 CA Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 019531 NY

Addresses

Primary practice location

640 S San Vicente Blvd Ste 476
Los Angeles, CA 90048-4661

Mailing address

640 S San Vicente Blvd Ste 476
Los Angeles, CA 90048-4661
Phone (323) 852-3171

Other names 1

  • Nora Goudsmit, Ph.D. Doing business as

National Provider Directory

National Provider Directory

Locations

640 S San Vicente Blvd
Ste 476
Los Angeles, CA 90048
Phone (323) 852-3171

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514764800000",
    "number": "1902246341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S SAN VICENTE BLVD STE 476",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484661",
            "telephone_number": "323-852-3171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S SAN VICENTE BLVD STE 476",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900484661",
            "telephone_number": "323-852-3171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOUDSMIT PSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-30",
        "last_updated": "2018-01-01",
        "status": "A",
        "authorized_official_last_name": "GOUDSMIT",
        "authorized_official_first_name": "NORA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "323-852-3171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "019531",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "28867",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019531",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nora Goudsmit, Ph.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.