Andrew Ray Goldberg, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY30525 Issued in CA

Practice address

667 Lytton Ave
Palo Alto, CA 94301-1335

Phone

(650) 487-0234

NPI assigned

Sep 5, 2012

Last updated

Jan 24, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1063761195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 WYANDOTTE ST APT 1",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940432324",
            "telephone_number": "216-702-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 LYTTON AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943011335",
            "telephone_number": "650-487-0234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "518 Hamilton Ave",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943012011",
            "country_code": "US",
            "telephone_number": "650-487-0234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "ANDREW",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-05",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY30525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Gokhale
• Janaki Ajit Gokhale, MD
• Ahmad Golchin, PHARMD
• Amanda Leanne Gold, WHNP-BC
• Jessica May Gold, MD
• Carley Goldberg, P.N.P.
• Cortland Nicole Goldell, DO
• Golden Castle Adhc Center, Inc.
• Gloria Yvonne Golden, PH.D.
• Neville Hylton Golden, MD

• Psychologist in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.