Suzanne Grossman Goldstein, PHD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PS016158 Issued in PA

Practice address

455 Pennsylvania Ave
Suite 115
Fort Washington, PA 19034-3403

Phone

(215) 653-0363

Fax

(215) 653-0361

NPI assigned

May 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Childhood Solutions, PC

  • Clinical Child & Adolescent Psychologist
  • Fort Washington, PA
  • NPI 1497968309
  NPD (past)

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194938514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 PENNSYLVANIA AVE",
            "address_2": "SUITE 115",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190343403",
            "telephone_number": "215-653-0363",
            "fax_number": "215-653-0361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 PENNSYLVANIA AVE",
            "address_2": "SUITE 115",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190343403",
            "telephone_number": "215-653-0363",
            "fax_number": "215-653-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "SUZANNE",
        "middle_name": "GROSSMAN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PA",
            "license": "PS016158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jean E Gravil, LPN
• Great Spring Acupuncture, LLC

• Clinical Child & Adolescent Psychologist in Fort Washington, PA
• Providers in Fort Washington, PA by specialty
• Clinical Child & Adolescent Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.