Active NPI
Dgoldberg Mental Health Counseling, PLLC
- Mental Health Counselor
- Woodridge, NY
National Provider Identifier
1063112159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- DGOLDBERG MENTAL HEALTH COUNSELING, PLLC
- Practice address
- 7 Robins Way
Woodridge, NY 12789-5323 - Phone
- (917) 853-0211
- Fax
- (845) 400-2755
- NPI assigned
- Mar 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Delia W Goldberg, M.S., M.A.
- Title
- Owner
- Phone
- (917) 853-0211
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
7 Robins Way
Woodridge, NY 12789-5323
Mailing address
PO Box 944
Woodridge, NY 12789-0944
Phone (917) 853-0211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Monticello, NY
- NPI 1821244062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1063112159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 944",
"city": "WOODRIDGE",
"state": "NY",
"postal_code": "127890944",
"telephone_number": "917-853-0211",
"fax_number": "845-400-2755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 ROBINS WAY",
"city": "WOODRIDGE",
"state": "NY",
"postal_code": "127895323",
"telephone_number": "917-853-0211",
"fax_number": "845-400-2755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DGOLDBERG MENTAL HEALTH COUNSELING, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-07",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A",
"authorized_official_last_name": "GOLDBERG",
"authorized_official_first_name": "DELIA",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-853-0211",
"authorized_official_credential": "M.S., M.A."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodridge, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.