Individual provider Active NPI

Karen A Goldberg, MD

  • Child & Adolescent Psychiatry Physician
  • Brandon, FL
National Provider Identifier
1013137751
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
ME 90453 Issued in FL
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

Updated by the provider on Apr 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
ME 90453FLMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Humanim Targeted Case Management PastSince Jan 1, 1990 Accepting new patients
Humanim Supported Employment HC PastSince Jan 1, 1990 Accepting new patients
Humanim Supported Employment MC PastSince Jan 1, 1990 Accepting new patients
Humanim Inc PastSince Jan 1, 1990 Accepting new patients
Humanim Inc PastSince Jan 1, 1990 Accepting new patients
Humanim-Workfirst PastSince Jan 1, 1990 Accepting new patients
Humanim TBS PastSince Jan 1, 1990 Accepting new patients
Humanim Supported Employment HC PastSince Jan 1, 1990 Accepting new patients
Humanim Supported Employment Aa PastSince Jan 1, 1990 Accepting new patients
Humanim Inc PastSince Jan 1, 1990 Accepting new patients
Humanim Inc PastSince Jan 1, 1990 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.

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.

Verify at the official NPI Registry.