Healthcare Provider Details

I. General information

NPI: 1396982013
Provider Name (Legal Business Name): VIRGINIE RACHEL GOLDSTEIN MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VIRGINIE RACHEL MORALI

II. Dates (important events)

Enumeration Date: 01/16/2009
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21710 STEVENS CREEK BLVD SUITE 240
CUPERTINO CA
95014
US

IV. Provider business mailing address

21710 STEVENS CREEK BLVD SUITE 240
CUPERTINO CA
95014
US

V. Phone/Fax

Practice location:
  • Phone: 408-504-7405
  • Fax: 408-556-9209
Mailing address:
  • Phone: 408-504-7405
  • Fax: 408-556-9209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number45547
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: