Samira Goldberg, MA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

002393 Issued in NY

Practice address

7000 Austin St
Forest Hills, NY 11375-1022

Phone

(914) 262-9304

NPI assigned

May 8, 2018

Last updated

Aug 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Samira Nahamoo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H9678

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.

• Up We Grow Services LLC

  • Early Intervention Provider Agency
  • Melville, NY
  • NPI 1841066842
  NPD (past)
• Achieve Beyond Inc

  • Behavior Analyst
  • Westfield, NJ
  • NPI 1124330634
  NPD (past)

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661040000000",
    "number": "1164911871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 PINE DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212830",
            "telephone_number": "914-262-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 AUSTIN ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751022",
            "telephone_number": "914-262-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "SAMIRA",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-08",
        "last_updated": "2022-08-21",
        "certification_date": "2022-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "002393",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMIRA",
            "last_name": "NAHAMOO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Manuella Goda
• James A. Gohar, M.D.
• Maya Golbraykh, M.D.
• Gary Ira Goldberg, DC
• Mark Goldberg, MD
• Sara Beth Goldberg, DDS
• Elena Golden
• Stella Goldgisser, NP
• Arnold Goldman, M.D.
• Gary Leslie Goldman, M.D.

• Behavior Analyst in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2022; 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.