Individual provider Active NPI

Daniel A Goldfarb, PH.D.

  • Clinical Psychologist
  • Hauppauge, NY
National Provider Identifier
1093878688
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8390 Issued in NY
Practice address
750 Veterans Hwy
Hauppauge, NY 11788-2943
Phone
(631) 724-5522
Fax
(631) 724-5546
NPI assigned
Dec 18, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 8390 NY Primary

Addresses

Primary practice location

750 Veterans Hwy
Hauppauge, NY 11788-2943

Mailing address

23 Holly Berry CT
Wading River, NY 11792-2157
Phone (631) 929-5782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161205000034 NY Practitioner - Clinical Psychologist 3173657210 Practice locations: Hauppauge, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

750 Veterans Memorial Hwy
Suite 205
Hauppauge, NY 11788-2943
Phone (631) 724-5522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
008390NYMDMental Health Counselor
8390NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aumiller/Goldfarb Psychological Services CurrentSince Dec 15, 2024 Accepting new patients
D. Goldfarb Psychological Services Clinical CurrentSince Dec 8, 2024 Accepting new patients

Locations

750 Veterans Memorial Hwy
Ste 205
Hauppauge, NY 11788
Phone (631) 724-5522

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093878688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 HOLLY BERRY CT",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117922157",
            "telephone_number": "631-929-5782",
            "fax_number": "631-724-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 VETERANS HWY",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882943",
            "telephone_number": "631-724-5522",
            "fax_number": "631-724-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDFARB",
        "first_name": "DANIEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "8390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

Verify at the official NPI Registry.