Individual provider Active NPI

David S Goldsmith, PH.D.

  • Clinical Psychologist
  • Pittsburgh, PA
National Provider Identifier
1023177300
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS-004795-L Issued in PA
Practice address
401 Shady Ave
Suite C207
Pittsburgh, PA 15206-4409
Phone
(412) 363-8779
Fax
(412) 363-9727
NPI assigned
Dec 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS-004795-L PA Primary

Addresses

Primary practice location

401 Shady Ave
Suite C207
Pittsburgh, PA 15206-4409

Mailing address

401 Shady Ave
Suite C207
Pittsburgh, PA 15206-4409
Phone (412) 363-8779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130513000057 PA Practitioner - Clinical Psychologist 1658518675 Practice locations: Pittsburgh, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1384 Old Freeport Rd
Suite 3Af
Pittsburgh, PA 15238-3129
Phone (412) 720-6509

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS-004795-LPAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Goldsmith Psycholgical Associates Clinical PastSince Jun 17, 2023 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023177300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SHADY AVE",
            "address_2": "SUITE C207",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152064409",
            "telephone_number": "412-363-8779",
            "fax_number": "412-363-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SHADY AVE",
            "address_2": "SUITE C207",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152064409",
            "telephone_number": "412-363-8779",
            "fax_number": "412-363-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSMITH",
        "first_name": "DAVID",
        "middle_name": "S",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS-004795-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.