Marisa Picheny Goldberg, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

68 019868 Issued in NY

Practice address

7 Rye Ridge PLZ # 373
Rye Brook, NY 10573-2822

Phone

(914) 432-2377

NPI assigned

Feb 10, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Memory Helpers Psychological Services PLLCGroup PAC ID 8325218555, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Memory Helpers Psychological Services, PLLC

  • Psychologist
  • Ardsley, NY
  • NPI 1376831040

  NY

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1235520495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 EASTERN RD",
            "city": "HARTSDALE",
            "state": "NY",
            "postal_code": "105302103",
            "telephone_number": "617-877-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 RYE RIDGE PLZ # 373",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105732822",
            "telephone_number": "914-432-2377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Eastern Rd",
            "address_purpose": "LOCATION",
            "city": "Hartsdale",
            "state": "NY",
            "postal_code": "105302103",
            "country_code": "US",
            "telephone_number": "617-877-3909",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "448-450 Manville Rd",
            "address_purpose": "LOCATION",
            "city": "Pleasantville",
            "state": "NY",
            "postal_code": "105702843",
            "country_code": "US",
            "telephone_number": "617-877-3909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICHENY GOLDBERG",
        "first_name": "MARISA",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-10",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "019868",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "68 019868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Teresa Pica-Leruo, LCSW
• Steven Polevoy, DMD
• Port Chester-Rye Ufsd
• Ellen Mittelman Potter, SLP
• Preston Lurie, MD PC
• Michael Anthony Priore, PT MS

• All providers in Rye Brook, NY
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.