Active NPI
Stacy Golman, PSY.D.
- Clinical Psychologist
- Saint Louis, MO
National Provider Identifier
1083045249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2013040102
- Practice address
- 1 University Blvd
University of Missouri - St. Louis
Saint Louis, MO 63121-4400 - Phone
- (314) 516-5824
- Fax
- (314) 516-5347
- NPI assigned
- Dec 12, 2013
- Sex
- Female
- Sole proprietor
- No
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 Psychologist | 103TC0700X | 2013040102 | MO | Primary |
Addresses
Primary practice location
1 University Blvd
University of Missouri - St. Louis
Saint Louis, MO 63121-4400
Mailing address
1 University Blvd
University of Missouri - St. Louis
Saint Louis, MO 63121-4400
Phone (314) 516-5824
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013040102 | MO | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386806400000",
"number": "1083045249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 UNIVERSITY BLVD",
"address_2": "UNIVERSITY OF MISSOURI - ST. LOUIS",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631214400",
"telephone_number": "314-516-5824",
"fax_number": "314-516-5347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 UNIVERSITY BLVD",
"address_2": "UNIVERSITY OF MISSOURI - ST. LOUIS",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631214400",
"telephone_number": "314-516-5824",
"fax_number": "314-516-5347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLMAN",
"first_name": "STACY",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-12",
"last_updated": "2013-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "2013040102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.