Clifford Stephan Golden, EDD LICENSED PSYCHOL

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY4079 Issued in FL

Practice address

1601 N Palm Ave Ste 211
Pembroke Pines, FL 33026-3204

Phone

(888) 852-6672

Fax

(305) 891-4228

NPI assigned

Nov 21, 2006

Last updated

Aug 19, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1184799546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 NE 125TH ST STE 409",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615834",
            "telephone_number": "888-852-6672",
            "fax_number": "305-891-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 N PALM AVE STE 211",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263204",
            "telephone_number": "888-852-6672",
            "fax_number": "305-891-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDEN",
        "first_name": "CLIFFORD",
        "middle_name": "STEPHAN",
        "name_prefix": "Dr.",
        "credential": "EDD LICENSED PSYCHOL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY4079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "768614500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Todd Michael Goldberg, DO
• Golden Coast Health Center, Inc.
• Golden Dental Group LLC
• Golden Mind Mental Health LLC.
• Golden Optical
• Kissinger P Goldman, DO/MBA
• Stuart S Goldner, RPH
• Fidel S Goldson Jr., D.C., P.T.
• Lathiema Goldson, DMFT, LMFT
• Rosemarie Goldstein

• Clinical Psychologist in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.