Daniel Bass Goldman

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PY8470 Issued in FL

Legal business name

DANIEL BASS GOLDMAN

Practice address

425 Cross St
#111
Punta Gorda, FL 33950-4877

Phone

(941) 255-5489

Fax

(941) 255-5481

NPI assigned

Jun 4, 2012

Organization subpart

No

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

Authorized official

Name

Daniel Bass Goldman, PH.D.

Title

Licensed Psychologist

Phone

(941) 255-5489

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1114288487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 CROSS ST",
            "address_2": "#111",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339504877",
            "telephone_number": "941-255-5489",
            "fax_number": "941-255-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 CROSS ST",
            "address_2": "#111",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339504877",
            "telephone_number": "941-255-5489",
            "fax_number": "941-255-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL BASS GOLDMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "BASS",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "941-255-5489",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY8470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counseling Psychologist in Punta Gorda, FL
• Providers in Punta Gorda, FL by specialty
• Counseling Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; 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.