Eric David Goodman, PH.D.

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

PSY 20248 Issued in CA

Practice address

1194 Pacific St Ste 101
Suite B-2
San Luis Obispo, CA 93401-3338

Phone

(805) 473-3388

Fax

(805) 548-0815

NPI assigned

Jan 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

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• Psychological Care Associates, P.C.

  • Clinical Psychologist
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  NPD (past)

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371772800000",
    "number": "1942270541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1194 PACIFIC ST STE 101",
            "address_2": "SUITE B-2",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013338",
            "telephone_number": "805-473-3388",
            "fax_number": "805-548-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1194 PACIFIC ST STE 101",
            "address_2": "SUITE B-2",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013338",
            "telephone_number": "805-473-3388",
            "fax_number": "805-548-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "ERIC",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2013-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 20248",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "PSY 20248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daisy Gonzalez
• Monica Rocio Gonzalez
• Watson Payne Gooch
• Good Samaritan Shelter
• Kiley Taylor Goode
• Michele Goodman
• Ramona Goodman
• Steven B Goodman, MD
• Karen E Goodrich, MD
• Nicole Goodwin, SOCIAL WORKER

• Cognitive & Behavioral Psychologist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Cognitive & Behavioral Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; 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.