JULIE GOALWIN, PH.D. A PSYCHOLOGICAL CORPORATION NPI 1003448218

Psychologist (Clinical) in Long Beach, CA

Organization Psychologist Clinical

About JULIE GOALWIN, PH.D. A PSYCHOLOGICAL CORPORATION

Julie Goalwin, Ph.d. A Psychological Corporation is a provider established in Long Beach, California specializing in psychologist. The NPI number of Julie Goalwin, Ph.d. A Psychological Corporation is 1003448218 and was assigned on February 2020. The practitioner's primary taxonomy code is 103TC0700X. The provider is registered as an organization and their NPI record was last updated February 2020. Julie Goalwin, Ph.d. A Psychological Corporation operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Julie Goalwin Ph.d. (Owner)

NPI

1003448218

Provider NameJULIE GOALWIN, PH.D. A PSYCHOLOGICAL CORPORATION
Provider Location Address115 PINE AVE STE 640 LONG BEACH, CA 90802
Provider Mailing Address115 PINE AVE STE 640 LONG BEACH, CA 90802
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date02-05-2020
Last Update Date02-05-2020

Primary Taxonomy

Taxonomy Code103TC0700X
ClassificationPsychologist
TypeBehavioral Health & Social Service Providers
SpecializationClinical
Taxonomy DescriptionA 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.

Business Address

JULIE GOALWIN, PH.D. A PSYCHOLOGICAL CORPORATION
115 PINE AVE STE 640
LONG BEACH, CA
ZIP 90802
Phone: (562) 364-8587
Fax: (562) 364-8588

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Mailing Address

JULIE GOALWIN, PH.D. A PSYCHOLOGICAL CORPORATION
115 PINE AVE STE 640
LONG BEACH, CA
ZIP 90802
Phone: (562) 364-8587
Fax: (562) 364-8588

Authorized Official

Authorized Official Name JULIE GOALWIN PH.D.
Authorized Official TitleOWNER
Authorized Official Phone(562) 364-8587

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.