Jaimie Beth Goralnick, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

239990 Issued in NY

Practice address

489-493 E 153Rd Street
Bronx, NY 10455

Phone

(718) 402-3900

NPI assigned

May 20, 2008

Last updated

Jul 1, 2008By the provider in NPPES

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jun 1, 2016 through Jun 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Baywell Psychiatry Group

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1326393711
  NPD (past)

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214870400000",
    "number": "1225295900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489-493 EAST 153RD STREET",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104551307",
            "telephone_number": "718-402-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489-493 E 153RD STREET",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10455",
            "telephone_number": "718-402-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORALNICK",
        "first_name": "JAIMIE",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "239990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Swathi Gopalakrishnan, MD
• La Chelle Gopaul
• Omawatie Shelly Gopee-Bonilla, MSN, RN, FNP-BC
• Manju Gopinathan, DDS, MS
• Renuka Gor, M.D.
• Daniela Gordillo, MOTR/L
• Marcia Gordon-Barrett, LPN
• Judith Louise Gordon-McNab, LMSW
• Janice Gordon-Simpson, RNP
• Christine Gordon-Sorrell

• Child & Adolescent Psychiatry Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Child & Adolescent Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.