DR. JAKE PATRICK GOODMAN MD
NPI 1679159545
Psychiatry & Neurology - Psychiatry in Poway, CA

Q: What is Jake Goodman's NPI number?

The NPI number for Jake Goodman is 1679159545. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Q: What is Jake Goodman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jake Goodman was last updated on June 17, 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.

Active since March 22, 2021

13319 POWAY RD, PMB #121, POWAY, CA 92064(858) 463-4703 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 17, 2025, Mar 22, 2021 (2 updates tracked since 2021).

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About Dr. Jake Patrick Goodman Md NPPES

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

DR. JAKE PATRICK GOODMAN MD (NPI 1679159545) is an individual psychiatry provider in Poway, California, licensed in California (A200604) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1679159545

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. JAKE PATRICK GOODMANCredential: MD

Location Address13319 POWAY RD, PMB #121Poway, CA 92064

Mailing Address13319 Poway Rd, Pmb #121Poway, CA 92064 · (858) 463-4703

Phone(858) 463-4703

Sole ProprietorNo

Enumeration DateMarch 22, 2021

Last NPPES UpdateJune 17, 20252 updates tracked since enumeration

NPPES CertifiedJune 17, 2025

✔ NPI 1679159545 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 · A200604

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.

13319 POWAY RD, Poway, CA 92064

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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 Jake Goodman's NPI number?

The NPI number for Jake Goodman is 1679159545. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Where is Jake Goodman located?

Jake Goodman practices at 13319 Poway Rd Pmb #121, Poway, CA 92064. The listed phone number is (858) 463-4703.

What is Jake Goodman's specialty?

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

When was this NPI record last updated?

The NPPES record for Jake Goodman was last updated on June 17, 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.