Eitan Goralsky, MHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

41 Mason St Unit 1
Salem, MA 01970-2265

Phone

(978) 745-2440

Fax

(978) 825-5620

NPI assigned

Oct 19, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 1, 2024 through Jul 1, 2028

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• North Shore Community Health, Inc

  • Federally Qualified Health Center (FQHC)
  • Salem, MA
  • NPI 1366582090
  NPD (past)

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287446400000",
    "number": "1053621458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MASON ST UNIT 1",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702265",
            "telephone_number": "978-745-2440",
            "fax_number": "978-825-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MASON ST UNIT 1",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702265",
            "telephone_number": "978-745-2440",
            "fax_number": "978-825-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORALSKY",
        "first_name": "EITAN",
        "credential": "MHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zayda Gonzalez
• Kathleen Goode, DPT
• Madison Leigh Goodman
• Murray J Goodman, MD
• Robert C Goodman, DPM PC
• Patrick Livius Gordan, MD
• Gordon Chiropractic Office
• Gregory J Gordon, DC
• Tara Gordon
• Jeanne E Gose, MD

• Mental Health Counselor in Salem, MA
• Providers in Salem, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.