Active NPI
Sula Goldenberg, LMFT
- Marriage & Family Therapist
- North Tustin, CA
National Provider Identifier
1952542383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 46487
- Practice address
- 1913 E 17TH St
North Tustin, CA 92705-8627 - Phone
- (714) 376-7136
- Fax
- (714) 543-6730
- NPI assigned
- Mar 15, 2009
- Sex
- Female
- 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 | MFC 46487 | CA | Primary |
Addresses
Primary practice location
1913 E 17TH St
North Tustin, CA 92705-8627
Mailing address
PO Box 8042
Fountain Valley, CA 92728-8042
Phone (714) 376-7136
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 46487 | CA | MD | Marriage & Family Therapist |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266451200000",
"number": "1952542383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8042",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927288042",
"telephone_number": "714-376-7136",
"fax_number": "714-543-6730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1913 E 17TH ST",
"city": "NORTH TUSTIN",
"state": "CA",
"postal_code": "927058627",
"telephone_number": "714-376-7136",
"fax_number": "714-543-6730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDENBERG",
"first_name": "SULA",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-15",
"last_updated": "2010-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 46487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Tustin, CA
- Chlupek Chiropractic Inc (Wellspring Healing Center)
- Jinsun Choi, M.D.
- Debbie Bristol and Associates Counseling Services (Counseling Center)
- Gabriel Carabulea, M.D., Inc.
- William Leo Gaffney, M.D.
- Susan Zakaria Haggag, M.S., ED.D. CP
- Ionela O Hubbard, LAC, DOM, IFMCP
- Internal Medicine Physicians of Newport Beach, Inc.
- Jeanne Jones-Dunham, LCSW
- Jennifer Endo Kim
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.