Individual provider Active NPI

Debra C Goldfine, PHD

  • Counseling Psychologist
  • Phoenix, AZ
National Provider Identifier
1134605686
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
004924 Issued in AZ
Practice address
736 W Coolidge St Apt a
Phoenix, AZ 85013-4600
Phone
(480) 652-5446
NPI assigned
Jul 18, 2018
Last updated
Aug 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 004924 AZ Primary

Addresses

Primary practice location

736 W Coolidge St Apt a
Phoenix, AZ 85013-4600

Mailing address

736 W Coolidge St Apt a
Phoenix, AZ 85013-4600
Phone (480) 652-5446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
004924AZMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sentience, PLLC Counseling Past Accepting new patients
Sentience Psycological Services PLLC PastSince Nov 4, 2012 Accepting new patients

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": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1134605686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 W COOLIDGE ST APT A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134600",
            "telephone_number": "480-652-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 W COOLIDGE ST APT A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134600",
            "telephone_number": "480-652-5446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDFINE",
        "first_name": "DEBRA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "AZ",
            "license": "004924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.