NATHANIEL VAN GOODLOW PH.D.
NPI 1528278561
Psychologist - Prescribing (Medical) in San Leandro, CA

Active since May 22, 2007
433 CALLAN AVE, SUITE 307, SAN LEANDRO, CA 94577(510) 310-6994 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nathaniel Van Goodlow Ph.d. NPPES

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

NATHANIEL VAN GOODLOW PH.D. (NPI 1528278561) is an individual prescribing (medical) provider in San Leandro, California, licensed in California (PSY14990) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1528278561
Entity TypeIndividualMale
Primary Taxonomy103TP0016X
Provider Legal NameNATHANIEL VAN GOODLOWCredential: PH.D.
Location Address433 CALLAN AVE, SUITE 307San Leandro, CA 94577-4643
Mailing Address433 Callan Ave, Suite 307San Leandro, CA 94577-4643
Sole ProprietorYes
Enumeration DateMay 22, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1528278561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers
Taxonomy Code103TP0016X
License Licensed in CA · PSY14990
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
433 CALLAN AVE, San Leandro, CA 94577

Other Identifiers 1

Medicare UPIN0PL149900CA

Other Providers at the Same Location NPPES 9

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

Counselor (Mental Health)
433 CALLAN AVE, STE 209
SAN LEANDRO, CA 94577
Acupuncturist
433 CALLAN AVE
SAN LEANDRO, CA 94577
Chiropractor (Sports Physician)
433 CALLAN AVE, SUITE 104
SAN LEANDRO, CA 94577
Chiropractor
433 CALLAN AVE, STE. 104
SAN LEANDRO, CA 94577
Counselor (Mental Health)
433 CALLAN AVE, SUITE 104
SAN LEANDRO, CA 94577
Physician Assistant
433 CALLAN AVE
SAN LEANDRO, CA 94577
Chiropractor
433 CALLAN AVE, STE 104
SAN LEANDRO, CA 94577
Community/Behavioral Health
433 CALLAN AVE
SAN LEANDRO, CA 94577

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 Nathaniel Goodlow's NPI number?

The NPI number for Nathaniel Goodlow is 1528278561. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Nathaniel Goodlow located?

Nathaniel Goodlow practices at 433 Callan Ave Suite 307, San Leandro, CA 94577. The listed phone number is (510) 310-6994.

What is Nathaniel Goodlow's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

When was this NPI record last updated?

The NPPES record for Nathaniel Goodlow was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.