Active NPI
Charles Josh Golden, PH.D.
- Clinical Neuropsychologist
- Fort Lauderdale, FL
National Provider Identifier
1073696852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PY5226
- Practice address
- 3301 College Avenue
Fort Lauderdale, FL 33314 - Phone
- (954) 262-5715
- Fax
- (954) 283-8655
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PY5226 | FL | Primary |
Addresses
Primary practice location
3301 College Avenue
Fort Lauderdale, FL 33314
Mailing address
2862 NE 35TH CT
Lighthouse Point, FL 33064-8574
Phone (954) 262-5715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY5226 | FL | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073696852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2862 NE 35TH CT",
"city": "LIGHTHOUSE POINT",
"state": "FL",
"postal_code": "330648574",
"telephone_number": "954-262-5715",
"fax_number": "954-283-8655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 COLLEGE AVENUE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33314",
"telephone_number": "954-262-5715",
"fax_number": "954-283-8655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDEN",
"first_name": "CHARLES",
"middle_name": "JOSH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "FL",
"license": "PY5226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
- Jaime Gold, DPT
- Golden Assistance Primary Care and Weight Management Clinic, PLLC
- Golden Diversified Service Inc (Golden Sands Retirement Home)
- Golden Years Medical Transport LLC
- Allison Golden, PSY.D.
- Jacob Goldenberg, MD
- Tatyana Goldin, D.O
- Darin R Goldman, M.D.
- Sally Anne Goldman, LMT
- Michal S Goldshmid, PA-C
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.