| Don M Goodman Inc. | |
|
123 Hodencamp Rd Ste 103 Thousand Oaks CA 91360-5833 | |
| (818) 917-4524 | |
| (800) 878-7720 |
| Full Name | Don M Goodman Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 123 Hodencamp Rd Ste 103, Thousand Oaks, California |
| Authorized Official Name and Position | Donald Mitchell Goodman (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8189174524 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Don M Goodman Inc. 123 Hodencamp Rd Ste 103 Thousand Oaks CA 91360-5833 Ph: (818) 917-4524 | Don M Goodman Inc. 123 Hodencamp Rd Ste 103 Thousand Oaks CA 91360-5833 Ph: (818) 917-4524 |
| NPI Number | 1023342805 |
|---|---|
| Provider Enumeration Date | 09/25/2009 |
| Last Update Date | 03/11/2024 |
| Certification Date | 03/11/2024 |
| Medicare PECOS PAC ID | 7416084843 |
|---|---|
| Medicare Enrollment ID | O20100416000270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023342805 | NPI | - | NPPES |
| 1871724518 | Other | CA | NPI |
| Provider Name | Donald Goodman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871724518 PECOS PAC ID: 7719022342 Enrollment ID: I20100305000820 |
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