Active NPI
Neal E Goldenberg, MD
- Psychiatry Physician
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35.120855
- Practice address
- 1744 Payne Avenue
Cleveland, OH 44114 - Phone
- (216) 623-6555
- Fax
- (216) 623-6539
- NPI assigned
- Jun 3, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35.120855 | OH | Primary |
Addresses
Primary practice location
1744 Payne Avenue
Cleveland, OH 44114
Mailing address
1744 Payne Avenue
Cleveland, OH 44114
Phone (216) 623-6555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospitals Medical Group Inc | Current | Accepting new patients | |
| St Vincent Charity Medical Center | Current | Accepting new patients | |
| St Vincent Charity Medical Center | Psychiatry | Current | Accepting new patients |
Locations
2475 E 22nd St
Fl 4
Cleveland, OH 44115
Phone (216) 363-2570
11100 Euclid Ave
Cleveland Heights, OH 44106
158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960
20800 Harvard Rd
Fl 2
Highland Hills, OH 44122
Phone (216) 358-2156
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba St Vincent Charity Community Health Center
- Urgent Care Clinic/Center
- Cleveland, OH
- NPI 1871202481
-
dba St Vincent Charity Community Health Center
- Community/Behavioral Health Agency
- Cleveland, OH
- NPI 1902529985
Psychiatry
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472169600000",
"number": "1114186418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1744 PAYNE AVENUE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44114",
"telephone_number": "216-623-6555",
"fax_number": "216-623-6539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1744 PAYNE AVENUE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44114",
"telephone_number": "216-623-6555",
"fax_number": "216-623-6539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDENBERG",
"first_name": "NEAL",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-03",
"last_updated": "2016-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35.120855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.