Individual provider Active NPI

Danielle Goodmann, PHD

  • Psychologist
  • Oakland, CA
National Provider Identifier
1982079877
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
33841 Issued in CA
Practice address
585 Mandana Blvd Ste 1
Oakland, CA 94610-2265
Phone
(510) 282-8089
NPI assigned
Dec 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 33841 CA Primary

Addresses

Primary practice location

585 Mandana Blvd Ste 1
Oakland, CA 94610-2265

Mailing address

585 Mandana Blvd Ste 1
Oakland, CA 94610-2265
Phone (510) 282-8089

Other practice location 1

1080 N 7th St
San Jose, CA 95112
Phone (408) 998-5774

Other practice location 2

2833 Broadway St
Boulder, CO 80304-3544
Phone (303) 449-2217

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
33841CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindhealth, a Professional Psychology Corporation Psychologist PastSince Feb 19, 2023 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1982079877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 MANDANA BLVD STE 1",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102265",
            "telephone_number": "510-282-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 MANDANA BLVD STE 1",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946102265",
            "telephone_number": "510-282-8089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1080 N 7th St",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "95112",
            "country_code": "US",
            "telephone_number": "408-998-5774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2833 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803043544",
            "country_code": "US",
            "telephone_number": "303-449-2217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODMANN",
        "first_name": "DANIELLE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-03",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "33841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.