Active NPI
Brian H. Goldman, PH.D., PC
- Psychologist
- Cumming, GA
National Provider Identifier
1174795298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY002429
- Legal business name
- BRIAN H. GOLDMAN, PH.D., PC
- Practice address
- 347 Dahlonega St
Suite 103
Cumming, GA 30040-2406 - Phone
- (678) 495-6143
- Fax
- (678) 455-9496
- NPI assigned
- Mar 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brian Hunter Goldman, PH.D.
- Title
- President
- Phone
- (678) 485-6143
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY002429 | GA | Primary |
Addresses
Primary practice location
347 Dahlonega St
Suite 103
Cumming, GA 30040-2406
Mailing address
347 Dahlonega St
Suite 103
Cumming, GA 30040-2406
Phone (678) 495-6143
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00895265E | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
347 Dahlonega St
Ste 103
Cumming, GA 30040
Phone (678) 485-6143
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychologist
- Cumming, GA
- NPI 1356499685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206662400000",
"number": "1174795298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "347 DAHLONEGA ST",
"address_2": "SUITE 103",
"city": "CUMMING",
"state": "GA",
"postal_code": "300402406",
"telephone_number": "678-495-6143",
"fax_number": "678-455-9496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "347 DAHLONEGA ST",
"address_2": "SUITE 103",
"city": "CUMMING",
"state": "GA",
"postal_code": "300402406",
"telephone_number": "678-495-6143",
"fax_number": "678-455-9496"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIAN H. GOLDMAN, PH.D., PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-28",
"last_updated": "2008-03-28",
"status": "A",
"authorized_official_last_name": "GOLDMAN",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "HUNTER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "678-485-6143",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "GA",
"license": "PSY002429",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00895265E",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.