THEODORE A. GOODMAN MD INC.
NPI 1174618748
Psychiatry & Neurology - Psychiatry in Sacramento, CA

Q: What is Theodore A. Goodman MD Inc.'s NPI number?

The NPI number for Theodore A. Goodman MD Inc. is 1174618748. It was assigned to this organization in the NPPES registry on October 3, 2006. The provider is doing business as Psychiatric Intervention Medical Associates Inc..

Q: What is Theodore A. Goodman MD Inc.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since October 03, 2006

1341 BURNETT WAY, SACRAMENTO, CA 95818(916) 452-5909(916) 943-0790 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Theodore A. Goodman Md Inc. NPPES

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

THEODORE A. GOODMAN MD INC. (NPI 1174618748), doing business as Psychiatric Intervention Medical Associates Inc., is a healthcare organization registered as a psychiatry in Sacramento, California and active in the NPI registry since October 2006. The organization lists Theodore Avram Goodman, President, as its authorized official.

NPPES Registry Identity

NPI1174618748

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameTHEODORE A. GOODMAN MD INC.

Location Address1341 BURNETT WAYSacramento, CA 95818-2221

Mailing Address7700 Folsom BlvdSacramento, CA 95826 · (916) 386-3645 · Fax (916) 386-3050

Phone(916) 452-5909

Fax(916) 943-0790

Organization SubpartNo

Authorized OfficialTheodore Avram GoodmanPresident · (916) 452-5909

Enumeration DateOctober 3, 2006

Last NPPES UpdateAugust 26, 2025

NPPES CertifiedAugust 26, 2025

✔ NPI 1174618748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · G35973

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1341 BURNETT WAY, Sacramento, CA 95818

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Other Names 1

Doing Business AsPsychiatric Intervention Medical Associates Inc.

Group Practice 1

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theodore A. Goodman Md Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Theodore A. Goodman MD Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Robert Blanco, M.D.

Psychiatry

NPI 1619065513

1341 BURNETT WAY
Sacramento, CA 95818

(916) 452-5909

✔ PECOS✔ Accepts MedicareSame address

Theodore Goodman, MD

Psychiatry

NPI 1841386471

7700 FOLSOM BLVD
Sacramento, CA 95826

(916) 386-3645

✔ PECOS4.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Theodore A. Goodman MD Inc.'s NPI number?

The NPI number for Theodore A. Goodman MD Inc. is 1174618748. It was assigned to this organization in the NPPES registry on October 3, 2006. The provider is doing business as Psychiatric Intervention Medical Associates Inc..

Where is Theodore A. Goodman MD Inc. located?

Theodore A. Goodman MD Inc. is located at 1341 Burnett Way, Sacramento, CA 95818. The listed phone number is (916) 452-5909.

What is Theodore A. Goodman MD Inc.'s specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Theodore A. Goodman MD Inc. enrolled in Medicare?

Yes. Theodore A. Goodman MD Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Theodore A. Goodman MD Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Psychiatry, reassign their Medicare billing to Theodore A. Goodman MD Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Theodore A. Goodman MD Inc. was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.