Provider Demographics
NPI:1992867501
Name:GOLDSTONE, JOEL BENJAMIN (MA, MFT)
Entity Type:Individual
Prefix:MR
First Name:JOEL
Middle Name:BENJAMIN
Last Name:GOLDSTONE
Suffix:
Gender:M
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2711 ALCATRAZ AVE
Mailing Address - Street 2:SUITE #5
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-2726
Mailing Address - Country:US
Mailing Address - Phone:510-882-2100
Mailing Address - Fax:
Practice Address - Street 1:2711 ALCATRAZ AVE.
Practice Address - Street 2:SUITE #5
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-2726
Practice Address - Country:US
Practice Address - Phone:510-882-2100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC42052106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist