Keith Golin PHD FL LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

KEITH GOLIN PHD FL LLC

Practice address

7901 4TH St N Ste 300
St Petersburg, FL 33702-4399

Phone

(888) 284-2034

NPI assigned

Jul 10, 2024

Organization subpart

No

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

Authorized official

Name

Keith Golin, PHDNPI 1689610875

Title

Owner

Phone

(888) 284-2034

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith Golin, PH.D.

  • Clinical Psychologist
  • West Orange, NJ
  • NPI 1689610875
  NPD (past) Authorized official

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1043057649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 EAGLE ROCK AVE STE 4",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024399",
            "telephone_number": "888-284-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH GOLIN PHD FL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "GOLIN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-284-2034",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Kehl Wood, ARNP
• Wayne H. Kehm II, DDS, PA
• Breanna Rose Keich
• Keith a. Brady M.D., P.a.
• Keith Brady, M.D., P.a
• Keith Runyan, MD
• Alaina Keith, MD
• Margaret Ann Kelleher, M.D.
• Winnie J Keller, M.S. CCC/A, FAAA
• Michael Shawn Kellerman, LMHC SAP MAC CAP CCJ

• Clinical Psychologist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.