Active NPI
Howard Marc Goldfischer, PSY.D.
- Clinical Neuropsychologist
- Windsor, CT
National Provider Identifier
1033241120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 002873
- Practice address
- 100 Deerfield Rd
Windsor, CT 06095-4252 - Phone
- (860) 714-9500
- Fax
- (860) 714-8979
- NPI assigned
- Mar 12, 2007
- Sex
- Male
- 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 Neuropsychologist | 103G00000X | PS00902 | RI | |
| Clinical Neuropsychologist | 103G00000X | 002873 | CT | Primary |
Addresses
Primary practice location
100 Deerfield Rd
Windsor, CT 06095-4252
Mailing address
100 Deerfield Rd
Windsor, CT 06095-4252
Phone (860) 714-9500
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002873 | CT | MD | Clinical Neuropsychologist |
| PS00902 | RI | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221609600000",
"number": "1033241120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 DEERFIELD RD",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060954252",
"telephone_number": "860-714-9500",
"fax_number": "860-714-8979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 DEERFIELD RD",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060954252",
"telephone_number": "860-714-9500",
"fax_number": "860-714-8979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDFISCHER",
"first_name": "HOWARD",
"middle_name": "MARC",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2008-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "RI",
"license": "PS00902",
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CT",
"license": "002873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windsor, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.