Healthcare Provider Details

I. General information

NPI: 1073379251
Provider Name (Legal Business Name): SHERYL ALLENE GOULARTE MSN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/26/2024
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18232 SMOKE ST
JAMESTOWN CA
95327-9218
US

IV. Provider business mailing address

501 SAN BENITO ST STE 201
HOLLISTER CA
95023-3903
US

V. Phone/Fax

Practice location:
  • Phone: 209-984-4820
  • Fax: 209-984-9240
Mailing address:
  • Phone: 831-801-6361
  • Fax: 831-297-7110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95030148
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95030148
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: