Active NPI
Joan E Golden, PHD
- Clinical Psychologist
- New York, NY
National Provider Identifier
1013059849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4999-1
- Practice address
- 10 W 9TH St
Garden Front
New York, NY 10011-8983 - Phone
- (212) 982-1191
- Fax
- (646) 613-9571
- NPI assigned
- Feb 12, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 4999-1 | NY | Primary |
| Marriage & Family Therapist | 106H00000X | 4999-1 | NY |
Addresses
Primary practice location
10 W 9TH St
Garden Front
New York, NY 10011-8983
Mailing address
55 Cambridge PL
Brooklyn, NY 11238-1907
Phone (212) 982-1191
Other names 1
- Dr. Joan E Golden-Alexis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090324000347 | NY | Practitioner - Clinical Psychologist | 9032276779 | Practice locations: New York, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
50 E 10TH St
Apt 1C
New York, NY 10003-6222
Phone (646) 229-0352
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4999-1 | NY | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413849600000",
"number": "1013059849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 CAMBRIDGE PL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112381907",
"telephone_number": "212-982-1191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 W 9TH ST",
"address_2": "GARDEN FRONT",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100118983",
"telephone_number": "212-982-1191",
"fax_number": "646-613-9571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDEN",
"first_name": "JOAN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2014-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "4999-1",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "4999-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOAN",
"last_name": "GOLDEN-ALEXIS",
"middle_name": "E",
"prefix": "DR.",
"credential": "PHD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.