Nora Goudsmit, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

28867 Issued in CA

Practice address

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

Phone

(646) 319-0338

NPI assigned

Sep 4, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1932458155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S SAN VICENTE BLVD",
            "address_2": "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": "646-319-0338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 E 94th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101281913",
            "country_code": "US",
            "telephone_number": "646-319-0338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOUDSMIT",
        "first_name": "NORA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-04",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "28867",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "019531",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019531",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "28867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert John Gottner, M.D.
• Christopher Gottsegen, M.D.
• Bernadine Goudeau, COUNSELOR
• Candace Y Goudeau
• Goudsmit Psychology, PLLC (Nora Goudsmit, Ph.D.)
• Shalanie Goueth, LPCC
• Christine Goukasian, MS, RD
• Elissa Gould, ATR-BC, L-CAT
• Jessica Lee Gould, M.D.
• Pavla Gould, PTA

• 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 11, 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.