Active NPI
Andrea Goldfeder, PSYD
- Clinical Psychologist
- Jamaica, NY
National Provider Identifier
1093265258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- P02888
- Practice address
- 9009 Van Wyck Expy
Jamaica, NY 11435-4200 - Phone
- (718) 206-6000
- NPI assigned
- Oct 11, 2016
- Sex
- Female
- 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 Psychologist | 103TC0700X | P02888 | NY | Primary |
Addresses
Primary practice location
9009 Van Wyck Expy
Jamaica, NY 11435-4200
Mailing address
9009 Van Wyck Expy
Jamaica, NY 11435-4200
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P02888 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484870400000",
"number": "1093265258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9009 VAN WYCK EXPY",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114354200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9009 VAN WYCK EXPY",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114354200",
"telephone_number": "718-206-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDFEDER",
"first_name": "ANDREA",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-11",
"last_updated": "2017-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "P02888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.