Active NPI
Julie Goldstein, PSY.D.
- Psychologist
- Kansas City, MO
National Provider Identifier
1003019076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2005003278
- Practice address
- 2 E 59TH St
Kansas City, MO 64113-2116 - Phone
- (816) 363-1898
- Fax
- (816) 822-7711
- NPI assigned
- Jun 7, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2005003278 | MO | Primary |
Addresses
Primary practice location
2 E 59TH St
Kansas City, MO 64113-2116
Mailing address
8236 W 98TH Ter
Overland Park, KS 66212-3496
Phone (816) 363-1898
Other names 1
- Julie Fine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005003278 | MO | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Children's Place, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Childrens Place
- Professional Counselor
- Kansas City, MO
- NPI 1174680904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003019076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8236 W 98TH TER",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662123496",
"telephone_number": "816-363-1898",
"fax_number": "816-822-7711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 E 59TH ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641132116",
"telephone_number": "816-363-1898",
"fax_number": "816-822-7711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "JULIE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MO",
"license": "2005003278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIE",
"last_name": "FINE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.