Active NPI
Barbara Florence Bruno Golden, EDD
- Clinical Neuropsychologist
- Newton, MA
National Provider Identifier
1124180757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 3748
- Practice address
- 151 Sargent St
Newton, MA 02458-2338 - Phone
- (617) 965-4451
- Fax
- (617) 965-6801
- NPI assigned
- Dec 13, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 3748 | MA | Primary |
Addresses
Primary practice location
151 Sargent St
Newton, MA 02458-2338
Mailing address
151 Sargent St
Newton, MA 02458
Phone (617) 965-4451
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0518115 | Medicaid | MA |
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: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3748 | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278374400000",
"number": "1124180757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 SARGENT ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "02458",
"telephone_number": "617-965-4451",
"fax_number": "617-965-6801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 SARGENT ST",
"city": "NEWTON",
"state": "MA",
"postal_code": "024582338",
"telephone_number": "617-965-4451",
"fax_number": "617-965-6801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNO GOLDEN",
"first_name": "BARBARA",
"middle_name": "FLORENCE",
"name_prefix": "Dr.",
"credential": "EDD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2010-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MA",
"license": "3748",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0518115",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.