Active NPI
Dov Golodner, LMFT
- Marriage & Family Therapist
- San Francisco, CA
National Provider Identifier
1942821228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 114010
- Practice address
- 3354 Sacramento St Ste F
San Francisco, CA 94118-1948 - Phone
- (415) 917-3792
- NPI assigned
- Apr 28, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 114010 | CA | Primary |
Addresses
Primary practice location
3354 Sacramento St Ste F
San Francisco, CA 94118-1948
Mailing address
1760 Ofarrell St Apt 20
San Francisco, CA 94115-3570
Phone (415) 917-3792
Other practice location 1
1 Hallidie Plz Ste 700
San Francisco, CA 94102-2841
Phone (415) 460-7301 ext. 706
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 7, 2024 through Jan 7, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114010 | CA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588032000000",
"number": "1942821228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1760 OFARRELL ST APT 20",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941153570",
"telephone_number": "415-917-3792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3354 SACRAMENTO ST STE F",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941181948",
"telephone_number": "415-917-3792"
}
],
"practiceLocations": [
{
"address_1": "1 Hallidie Plz Ste 700",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941022841",
"country_code": "US",
"telephone_number": "415-460-7301 x706",
"fax_number": "415-460-7301",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLODNER",
"first_name": "DOV",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-28",
"last_updated": "2020-04-28",
"certification_date": "2020-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "114010",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.