DR. MARCIE ILENE GOLDMAN PHD
NPI 1427150879
Psychologist in San Diego, CA

Active since September 05, 2006PECOS EnrolledAccepts Medicare Assignment
4452 PARK BLVD STE 101, SAN DIEGO, CA 92116(619) 952-8077(619) 239-7335 Get Directions Write a Review

NPPES record last updated: February 18, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Marcie Ilene Goldman Phd NPPES

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

DR. MARCIE ILENE GOLDMAN PHD (NPI 1427150879) is an individual psychologist in San Diego, California, licensed in California (PSY14404) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1427150879
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. MARCIE ILENE GOLDMANCredential: PHD
Location Address4452 PARK BLVD STE 101San Diego, CA 92116-4039
Mailing Address1332 Bancroft StSan Diego, CA 92102 · (619) 952-8077 · Fax (619) 239-7335
Fax(619) 239-7335
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateSeptember 5, 2006
Last NPPES UpdateFebruary 18, 2010
NPI 1427150879 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 · PSY14404
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.
4452 PARK BLVD STE 101, San Diego, CA 92116

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Marcie Ilene Goldman Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941344535
PECOS Enrollment IDI20100220000011
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

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

Psychologist
4452 PARK BLVD STE 101
SAN DIEGO, CA 92116

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 Marcie Goldman's NPI number?

The NPI number for Marcie Goldman is 1427150879. It was assigned to this individual provider in the NPPES registry on September 5, 2006.

Where is Marcie Goldman located?

Marcie Goldman practices at 4452 Park Blvd Ste 101, San Diego, CA 92116. The listed phone number is (619) 952-8077.

What is Marcie Goldman's specialty?

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

Is Marcie Goldman enrolled in Medicare?

Yes. Marcie Goldman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Marcie Goldman was last updated on February 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.