RUBY JEAN GOODWIN NPI 1558879072

NPI Information

  • NPI: 1558879072
  • Provider Name: RUBY JEAN GOODWIN
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 1424 50TH AVE APT 1
    OAKLAND, CA
    ZIP 94601
  • Phone: (510) 860-6728

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NPI Details

Ruby Jean Goodwin is a mental health counselor in Oakland, CA. Ruby Jean Goodwin NPI is 1558879072. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1424 50TH AVE APT 1
OAKLAND, CA
ZIP 94601-243
Phone: (510) 860-6728

The enumeration date for this NPI number is 1/18/2018 and was last updated on 1/18/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1BH266794MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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