Individual provider Active NPI

Bea Hollander-Goldfein, PH.D.

  • Psychologist
  • Philadelphia, PA
National Provider Identifier
1225243728
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS003429L Issued in PA
Practice address
4025 Chestnut St
Philadelphia, PA 19104-3054
Phone
(215) 382-6680
Fax
(215) 386-1743
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS003429L PA Primary

Addresses

Primary practice location

4025 Chestnut St
Philadelphia, PA 19104-3054

Mailing address

353 Bala Ave
Bala Cynwyd, PA 19004-2736
Phone (610) 664-4991

Other names 1

  • Dr. Bea Hollander Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 17, 2024 through Sep 17, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS003429LPAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225243728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "353 BALA AVE",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190042736",
            "telephone_number": "610-664-4991",
            "fax_number": "610-617-8618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 CHESTNUT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043054",
            "telephone_number": "215-382-6680",
            "fax_number": "215-386-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLANDER-GOLDFEIN",
        "first_name": "BEA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS003429L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEA",
            "last_name": "HOLLANDER",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.