DR. JERRY M GOFFMAN PHD.
NPI 1124137765
Psychologist in Rancho Cucamonga, CA

Active since August 29, 2006
8253 WHITE OAK AVE, RANCHO CUCAMONGA, CA 91730(951) 312-1041 Get Directions Write a Review

NPPES record last updated: October 1, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jerry M Goffman Phd. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JERRY M GOFFMAN PHD. (NPI 1124137765) is an individual psychologist in Rancho Cucamonga, California, licensed in California (PSY7081) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1124137765
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. JERRY M GOFFMANCredential: PHD.
Location Address8253 WHITE OAK AVERancho Cucamonga, CA 91730-7671
Mailing Address1040 S Mount Vernon Ave, G-306Colton, CA 92324-4228 · (951) 312-1041
Sole ProprietorYes
Enumeration DateAugust 29, 2006
Last NPPES UpdateOctober 1, 2007
NPI 1124137765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY7081
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
8253 WHITE OAK AVE, Rancho Cucamonga, CA 91730

Other Identifiers 4

MedicaidPSY070811CA
MedicaidPSY070812CA
Medicare PIN00PL70814CA
Medicare ID-Type Unspecified00PL70810CA · Brockton

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730
Social Worker (Clinical)
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730
Psychologist
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730
Psychiatry & Neurology (Psychiatry)
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730
Community/Behavioral Health
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730
Psychologist (Clinical)
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730
Psychologist
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730
Nurse Practitioner (Psychiatric/Mental Health)
8253 WHITE OAK AVE
RANCHO CUCAMONGA, CA 91730

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Goffman's NPI number?

The NPI number for Jerry Goffman is 1124137765. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Jerry Goffman located?

Jerry Goffman practices at 8253 White Oak Ave, Rancho Cucamonga, CA 91730. The listed phone number is (951) 312-1041.

What is Jerry Goffman's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Jerry Goffman was last updated on October 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.