Shayna Goldstein

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

026341 Issued in NY

Practice address

15005 Union Tpke Ste L11
Flushing, NY 11367-3927

Phone

(516) 494-3028

NPI assigned

Apr 12, 2024

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1093569501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15005 UNION TPKE STE L11",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673927",
            "telephone_number": "516-494-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15005 UNION TPKE STE L11",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673927",
            "telephone_number": "516-494-3028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Cedarhurst",
            "state": "NY",
            "postal_code": "115162301",
            "country_code": "US",
            "telephone_number": "516-494-3028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "SHAYNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "026341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shoshana Goldschmidt, OTR/L
• Avraham Goldstein
• Elizabeth Gayle Goldstein, MD
• Kara Goldstein
• Merissa Tammi Goldstein
• Elan Goldwyn
• Lawrence S Golub, DDS
• Judah M Gomberg, DPM
• Gerson Ives Gomes, M.D.
• Kathleen Dominica Gomes

• Clinical Psychologist in Flushing, NY
• Providers in Flushing, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.