GRACE GOODMAN PSYD
NPI 1790111862
Psychologist - Clinical in San Bernardino, CA
NPI Status: Active since September 20, 2013
Contact Information
250 S G ST
SAN BERNARDINO, CA
ZIP 92410
Phone: (909) 382-7100
Fax: (909) 382-7101
- Individual
- Female
- Psychologist
- Clinical
About GRACE GOODMAN
This page provides the complete NPI Profile along with additional information for Grace Goodman, a provider established in San Bernardino, California with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1790111862 assigned on September 2013. The practitioner's primary taxonomy code is 103TC0700X with license number 28905 (CA). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1790111862
- Provider Name
- GRACE GOODMAN PSYD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 250 S G ST SAN BERNARDINO, CA 92410
- Location Phone
- (909) 382-7100
- Location Fax
- (909) 382-7101
- Mailing Address
- 250 S G ST SAN BERNARDINO, CA 92410
- Mailing Phone
- (909) 382-7100
- Mailing Fax
- (909) 382-7101
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-20-2013
- Last Update Date
- 02-03-2017
- Code Navigator
A clinical psychologist like Grace Goodman assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 28905
- License State
- CA
- Taxonomy Description
- A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 9 | 0 | 1 | 1 | 1 | 8 | 6 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 2 | 1 | 2 | 8 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 2 + 1 + 2 + 8 + 1 + 2 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1790111862 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1679023394 | SARA MADAI SAENZ-PAVON LCSW Individual | Social Worker (Clinical) | 250 S G ST SAN BERNARDINO, CA 92410 (909) 382-7100 |
| 1508270463 | JESSA MARIE KOCH PHARMD Individual | Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist) | 250 S G ST SAN BERNARDINO, CA 92410 (855) 558-1100 |
| 1093256919 | MFI RECOVERY CENTER Organization | Substance Abuse Rehabilitation Facility | 250 S G ST SAN BERNARDINO, CA 92410 (951) 683-6596 |
| 1538688486 | ROCCO J MASSIMIANO PHARM.D. Individual | Pharmacist | 250 S G ST SAN BERNARDINO, CA 92410 (909) 771-2990 |
| 1043721939 | SAC HEALTH SYSTEM Organization | Family Medicine | 250 S G ST SAN BERNARDINO, CA 92410 (909) 382-7100 |
| 1447791223 | LADONNA M OELSCHLAEGER PHARMD Individual | Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist) | 250 S G ST SAN BERNARDINO, CA 92410 (909) 558-4000 |
| 1598997678 | DR. KATHRYN MARIE DAVIS PSY.D. Individual | Psychologist (Clinical) | 250 S G ST SAN BERNARDINO, CA 92410 (909) 382-7100 |
| 1801037346 | MRS. ERIKA JANET PEREZ LCSW Individual | Social Worker (Clinical) | 250 S G ST SAN BERNARDINO, CA 92410 (909) 382-7100 |
| 1184066334 | SOO MIN JANG PHARM.D. Individual | Pharmacist (Ambulatory Care) | 250 S G ST SAN BERNARDINO, CA 92410 (909) 382-7100 |
| 1962797407 | MRS. TANYA P. L. CARCAMO LMFT Individual | Marriage & Family Therapist | 250 S G ST SAN BERNARDINO, CA 92410 (909) 558-4800 |
| 1619327798 | FACULTY PHYSICIANS AND SURGEONS OF LLUSM Organization | Radiology (Diagnostic Radiology) | 250 S G ST SAN BERNARDINO, CA 92410 (909) 558-4000 |
| 1104467190 | DR. KARIN CECILIA ULLTJAERN DNP, RN, PMHNP-BC Individual | Nurse Practitioner (Psychiatric/Mental Health) | 250 S G ST SAN BERNARDINO, CA 92410 (909) 382-7100 |
| 1366085359 | ANNA KIM Individual | Pharmacist | 250 S G ST SAN BERNARDINO, CA 92410 (909) 771-2990 |
| 1538449319 | DIANA L NOVEMBER LCSW Individual | Social Worker (Clinical) | 250 S G ST SAN BERNARDINO, CA 92410 (909) 382-7100 |
| 1407494750 | DR. JOSHUA JOSEPH MASIH PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 250 S G ST SAN BERNARDINO, CA 92410 (909) 382-7100 |
| 1275167926 | ALMA ROSA VAZQUEZ LCSW Individual | Social Worker (Clinical) | 250 S G ST SAN BERNARDINO, CA 92410 (909) 558-4800 |
| 1942672456 | ALLEN ZACHARY ORELLANA CADC II, A050090718 Individual | Counselor (Addiction (Substance Use Disorder)) | 250 S G ST SAN BERNARDINO, CA 92410 (951) 214-3828 |
| 1043690910 | DR. KELSEY LOUAINE CHEREPUSCHAK M.D. Individual | Family Medicine | 250 S G ST SAN BERNARDINO, CA 92410 (909) 382-7100 |
| 1760515886 | MS. ELIZABETH ANNE PARK PSY.D. Individual | Psychologist (Clinical) | 250 S G ST SAN BERNARDINO, CA 92410 (909) 558-1000 |
| 1386044709 | MAYRA E GARCIA Individual | Social Worker (Clinical) | 250 S G ST SAN BERNARDINO, CA 92410 (909) 382-7100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790111862, enumerated in the NPI registry as an "individual" on September 20, 2013
The provider is located at 250 S G St San Bernardino, Ca 92410 and the phone number is (909) 382-7100
The provider's speciality is Psychologist with taxonomy code 103TC0700X with a focus in Clinical
This NPI record was last updated on September 20, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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