Individual provider Active NPI

David Goldstein, PSY.D.

  • Psychologist
  • Bronx, NY
National Provider Identifier
1033526439
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
011016 Issued in NY
Practice address
555 Bergen Ave
4TH Floor
Bronx, NY 10455-1368
Phone
(718) 742-8518
Fax
(718) 993-4345
NPI assigned
Jul 17, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 011016 NY Primary

Addresses

Primary practice location

555 Bergen Ave
4TH Floor
Bronx, NY 10455-1368

Mailing address

555 Bergen Ave
4TH Floor
Bronx, NY 10455-1368
Phone (718) 742-8518

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
011016NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1033526439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 BERGEN AVE",
            "address_2": "4TH FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104551368",
            "telephone_number": "718-742-8518",
            "fax_number": "718-993-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 BERGEN AVE",
            "address_2": "4TH FLOOR",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104551368",
            "telephone_number": "718-742-8518",
            "fax_number": "718-993-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "011016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.