1396982013 NPI number — MRS. VIRGINIE RACHEL GOLDSTEIN MFT

Table of content: MRS. VIRGINIE RACHEL GOLDSTEIN MFT (NPI 1396982013)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396982013 NPI number — MRS. VIRGINIE RACHEL GOLDSTEIN MFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GOLDSTEIN
Provider First Name:
VIRGINIE
Provider Middle Name:
RACHEL
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MORALI
Provider Other First Name:
VIRGINIE
Provider Other Middle Name:
RACHEL
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1396982013
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/17/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
21710 STEVENS CREEK BLVD
Provider Second Line Business Mailing Address:
SUITE 240
Provider Business Mailing Address City Name:
CUPERTINO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95014
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
408-504-7405
Provider Business Mailing Address Fax Number:
408-556-9209

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
21710 STEVENS CREEK BLVD
Provider Second Line Business Practice Location Address:
SUITE 240
Provider Business Practice Location Address City Name:
CUPERTINO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95014
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
408-504-7405
Provider Business Practice Location Address Fax Number:
408-556-9209
Provider Enumeration Date:
01/16/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 106H00000X , with the licence number:  45547 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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