Stephanie Diane Goldman, BHR

Primary specialty

Rehabilitation PsychologistTaxonomy code 103TR0400X

Practice address

403 N Clarence Nash Blvd
Watonga, OK 73772-3636

Phone

(580) 623-5433

Fax

(580) 623-2409

NPI assigned

Jun 29, 2011

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

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1104113083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E PROCTOR AVE APT 2",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730964239",
            "telephone_number": "580-819-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 N CLARENCE NASH BLVD",
            "city": "WATONGA",
            "state": "OK",
            "postal_code": "737723636",
            "telephone_number": "580-623-5433",
            "fax_number": "580-623-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "STEPHANIE",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "BHR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred R Lucas DDS Inc
• Jane Anne Frymire, DPH
• James Garner, M.D.
• Marlin R Giles, BS
• Matthew Giles
• Patsy M Gonzales, RN
• Karen S. Grimes, CBHCM
• Natalie Haigler
• Earl Wayne Hartfield Jr.
• Kayla Joy Hartford

• Rehabilitation Psychologist in Watonga, OK
• Providers in Watonga, OK by specialty
• Rehabilitation Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.