Dr Jerry M Goffman, PHD - Psychologist in Rancho Cucamonga, CA

Dr Jerry M Goffman, PHD is a Psychologist based in Rancho Cucamonga, California. Dr Jerry M Goffman is licensed to practice in California (license number PSY7081) and his current practice location is 8253 White Oak Ave, Rancho Cucamonga, California. He can be reached at his office (for appointments etc.) via phone at (951) 312-1041.

NPI number for Dr Jerry M Goffman is 1124137765 and his current mailing address is 1040 S Mount Vernon Ave, G-306, Colton, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124137765.

Contact Information

Dr Jerry M Goffman, PHD
8253 White Oak Ave,
Rancho Cucamonga, CA 91730-7671
(951) 312-1041
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Jerry M Goffman
GenderMale
SpecialityPsychologist
Location8253 White Oak Ave, Rancho Cucamonga, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124137765
  • Provider Enumeration Date: 08/29/2006
  • Last Update Date: 10/01/2007

Medical Identifiers

Medical identifiers for Dr Jerry M Goffman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124137765NPI-NPPES
PSY070812MedicaidCA
PSY070811MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PSY7081 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jerry M Goffman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jerry M Goffman, PHD
1040 S Mount Vernon Ave, G-306,
Colton, CA 92324-4228

Ph: (951) 312-1041
Dr Jerry M Goffman, PHD
8253 White Oak Ave,
Rancho Cucamonga, CA 91730-7671

Ph: (951) 312-1041

Reviews and Comments


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