Lisa Taxman Goldfarb, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

011631 Issued in NY

Practice address

118 Spring St
Port Jefferson, NY 11777-1817

Phone

(631) 476-0564

Fax

(631) 476-9322

NPI assigned

Sep 14, 2010

Last updated

Sep 14, 2010By 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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1992

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Aumiller/Goldfarb Psychological Services

  • Community/Behavioral Health Agency
  • Hauppauge, NY
  • NPI 1225845118
  NPD (past)
• D. Goldfarb Psychological Services

  • Clinical Psychologist
  • Hauppauge, NY
  • NPI 1346066628
  NPD (past)

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1235447053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 HOLLY BERRY CT",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117922157",
            "telephone_number": "516-503-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 SPRING ST",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771817",
            "telephone_number": "631-476-0564",
            "fax_number": "631-476-9322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAXMAN GOLDFARB",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "011631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina M Tart, LMT
• Jennifer Tassell, RPH.
• Kim M. Tassinari, PH.D.
• Bonnie Taub, LMT
• Michael Kenneth Tax, LPN
• The Community Programs Center of L.I. (Day Haven Adult Day Services)
• The Way Back, Inc.
• Dinushan Thirumavalavan, D.O.
• Elizabeth Ann Thomas-Lov, P.T.
• Christina Thompson, PA

• Psychologist in Port Jefferson, NY
• Providers in Port Jefferson, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.