Elizabeth S Goldman, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD417451 Issued in PA

Practice address

1062 E Lancaster Ave
Suite 6
Bryn Mawr, PA 19010-1552

Phone

(610) 527-5927

Fax

(267) 708-0790

NPI assigned

Oct 21, 2006

Sex

Female

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 28, 2018 through Mar 28, 2028

Specialty

Psychiatry

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1999

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gruenberg & Summers, P.C.

  • Psychiatry Physician
  • Bryn Mawr, PA
  • NPI 1093022634
  NPD (past)

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063595411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 E LANCASTER AVE",
            "address_2": "SUITE 6",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101552",
            "telephone_number": "610-527-5927",
            "fax_number": "267-708-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 E LANCASTER AVE",
            "address_2": "SUITE 6",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101552",
            "telephone_number": "610-527-5927",
            "fax_number": "267-708-0790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "ELIZABETH",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD417451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Goffredo, DO
• Belinda Goins
• William Howard Gold
• Carly L Goldberg, MSW, LCSW
• Jamie Goldberg, MS, ATC
• Mitchell Joel Goldman, M.D.
• Benjamin Kane Goldstein, LCSW
• Rachel Melissa Goldstein, CRNP
• Muhammad Golsorkhi, M.D.
• Deborah Gondek, D.O.

• Psychiatry Physician in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.