Active NPI
Karen A Goldberg, MD
- Child & Adolescent Psychiatry Physician
- Brandon, FL
National Provider Identifier
1013137751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- ME 90453
- Practice address
- 219 Cook St
Brandon, FL 33511-5216 - Phone
- (813) 502-5272
- Fax
- (813) 502-6741
- NPI assigned
- Apr 26, 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME 90453 | FL | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | ME 90453 | FL | Primary |
Addresses
Primary practice location
219 Cook St
Brandon, FL 33511-5216
Mailing address
PO Box 4111
Brandon, FL 33509-4111
Phone (813) 716-8547
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 90453 | FL | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Humanim Targeted Case Management | Past | Accepting new patients | |
| Humanim Supported Employment HC | Past | Accepting new patients | |
| Humanim Supported Employment MC | Past | Accepting new patients | |
| Humanim Inc | Past | Accepting new patients | |
| Humanim Inc | Past | Accepting new patients | |
| Humanim-Workfirst | Past | Accepting new patients | |
| Humanim TBS | Past | Accepting new patients | |
| Humanim Supported Employment HC | Past | Accepting new patients | |
| Humanim Supported Employment Aa | Past | Accepting new patients | |
| Humanim Inc | Past | Accepting new patients | |
| Humanim Inc | Past | Accepting new patients |
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Respite Care
- Columbia, MD
- NPI 1134343627
-
- Case Management Agency
- Odenton, MD
- NPI 1346606365
-
- Mental Illness Community Based Residential Treatment Facility
- Columbia, MD
- NPI 1467676932
-
- Physical Disabilities Residential Treatment Facility
- Columbia, MD
- NPI 1871717264
-
- Community/Behavioral Health Agency
- Odenton, MD
- NPI 1649819830
-
- Case Management Agency
- Columbia, MD
- NPI 1386002749
-
- Community/Behavioral Health Agency
- Columbia, MD
- NPI 1467091652
-
- Community/Behavioral Health Agency
- Rockville, MD
- NPI 1164201497
-
- Case Management Agency
- Columbia, MD
- NPI 1104272087
-
- Community/Behavioral Health Agency
- Columbia, MD
- NPI 1275117061
-
- Developmentally Disabled Services Day Training Agency
- Baltimore, MD
- NPI 1750570297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649635200000",
"number": "1013137751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4111",
"city": "BRANDON",
"state": "FL",
"postal_code": "335094111",
"telephone_number": "813-716-8547",
"fax_number": "813-502-5272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 COOK ST",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115216",
"telephone_number": "813-502-5272",
"fax_number": "813-502-6741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "KAREN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2022-04-11",
"certification_date": "2022-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME 90453",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "FL",
"license": "ME 90453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.