Active NPI
Raychul Goldenberg-Bivens, PSYD
- Clinical Psychologist
- Suffolk, VA
National Provider Identifier
1215291158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810004150
- Practice address
- 154 West Washington St
Suffolk, VA 23434 - Phone
- (757) 925-0222
- Fax
- (757) 925-1414
- NPI assigned
- Jun 26, 2012
- Last updated
- Aug 15, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810004150 | VA | Primary |
Addresses
Primary practice location
154 West Washington St
Suffolk, VA 23434
Mailing address
154 West Washington St
Suffolk, VA 23434
Phone (757) 925-0222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Advanced Psychological Services | Clinical | Past | Accepting new patients |
| Miranda Communications , Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Norfolk, VA
- NPI 1275796948
-
- Clinical Social Worker
- Virginia Beach, VA
- NPI 1528456183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344988800000",
"number": "1215291158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "154 WEST WASHINGTON ST",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "23434",
"telephone_number": "757-925-0222",
"fax_number": "757-925-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "154 WEST WASHINGTON ST",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "23434",
"telephone_number": "757-925-0222",
"fax_number": "757-925-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDENBERG-BIVENS",
"first_name": "RAYCHUL",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-26",
"last_updated": "2012-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810004150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suffolk, VA
- Godwin Pharmacy Inc (Godwin Pharmacy LTC)
- Danielle Nicole Godwin
- Gogreen Farms and Greenhouses Inc (Synergy Powered by GoGreen)
- Benjamin Michael Goins, M.D.
- Golden Sunflowers Home Health Care, LLC
- Nathan P Goldin, M.D.
- Emily Patricia Gomez
- Jacob Avery Gomoke, PT
- Madeline Victoria Gonsalves
- Michael S Gonzalez, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.