Provider Demographics
NPI:1194801100
Name:BRUCE, NOAH GOLDIN (PSYD)
Entity type:Individual
Prefix:
First Name:NOAH
Middle Name:GOLDIN
Last Name:BRUCE
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 W FRANKLIN ST STE 10
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-2744
Mailing Address - Country:US
Mailing Address - Phone:305-240-4947
Mailing Address - Fax:
Practice Address - Street 1:135 W FRANKLIN ST STE 10
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-2744
Practice Address - Country:US
Practice Address - Phone:305-240-4947
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY23184103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty