Goldberg Consulting Group, Inc.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

1045 Issued in AZ

Legal business name

GOLDBERG CONSULTING GROUP, INC.

Practice address

600 East Baseline Road
Suite C-1
Tempe, AZ 85283-1247

Phone

(480) 831-0746

Fax

(480) 777-8521

NPI assigned

Jun 30, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth J. Goldberg, ED.D.NPI 1336104512

Title

100 Owner/President

Phone

(480) 831-0746

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Tax ID family

Goldberg Consulting Group Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Goldberg Consulting Group, Inc.

  • Counseling Psychologist
  • Tempe, AZ
  • NPI 1952610735
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth J Goldberg, ED.D

  • Psychologist
  • Tempe, AZ
  • NPI 1336104512
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498780800000",
    "number": "1184145047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 EAST BASELINE ROAD",
            "address_2": "SUITE C-1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831267",
            "telephone_number": "480-831-0746",
            "fax_number": "480-777-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 EAST BASELINE ROAD",
            "address_2": "SUITE C-1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831247",
            "telephone_number": "480-831-0746",
            "fax_number": "480-777-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDBERG CONSULTING GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-30",
        "last_updated": "2017-06-30",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "100 OWNER/PRESIDENT",
        "authorized_official_telephone_number": "480-831-0746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "1045",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "AZ",
            "license": "1045",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "AZ",
            "license": "1045",
            "primary": true
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": "AZ",
            "license": "1045",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gmclarty Enterprises LLC (Control Physical Therapy)
• Justin Goal
• Gojo 1 PLLC (Aegis Primary Care and Wellness Clinic)
• Michelle Gokey
• Lauren Gloria Goldbach, LCSW
• Goldberg Consulting Group, Inc.
• John Michael Goldberg, MD
• Kelsey Rose Goldberg, RBT
• Kenneth J Goldberg, ED.D
• Golden Gate Hospice Inc

• Clinical Child & Adolescent Psychologist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Clinical Child & Adolescent Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.