Active NPI
Joel Benjamin Goldstone, MA, MFT
- Marriage & Family Therapist
- Berkeley, CA
National Provider Identifier
1992867501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC42052
- Practice address
- 2711 Alcatraz Ave.
Suite #5
Berkeley, CA 94705-2726 - Phone
- (510) 882-2100
- NPI assigned
- Dec 14, 2006
- 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 | MFC42052 | CA | Primary |
Addresses
Primary practice location
2711 Alcatraz Ave.
Suite #5
Berkeley, CA 94705-2726
Mailing address
2711 Alcatraz Ave
Suite #5
Berkeley, CA 94705-2726
Phone (510) 882-2100
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq | Health Information Exchange (HIE) | The Permanente Medical Group |
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC42052 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644537600000",
"number": "1992867501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2711 ALCATRAZ AVE",
"address_2": "SUITE #5",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052726",
"telephone_number": "510-882-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2711 ALCATRAZ AVE.",
"address_2": "SUITE #5",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052726",
"telephone_number": "510-882-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTONE",
"first_name": "JOEL",
"middle_name": "BENJAMIN",
"name_prefix": "Mr.",
"credential": "MA, MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC42052",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
"affiliation": "Y",
"endpointDescription": "Carequality",
"affiliationName": "The Permanente Medical Group",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "710 S. Broadway",
"city": "Walnut Creek",
"state": "CA",
"country_code": "US",
"postal_code": "94596",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.