Organization Active NPI

Goshen Psychology, PLLC.

  • Clinical Psychologist
  • Goshen, NY
National Provider Identifier
1235568825
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
013072NYS Issued in NY
Legal business name
GOSHEN PSYCHOLOGY, PLLC.
Practice address
305 Main St
Goshen, NY 10924-1638
Phone
(845) 294-4241
Fax
(845) 294-4241
NPI assigned
Nov 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Authorized official

Name
Debra Klinger-Rosenfeld, PHD
Title
Owner
Phone
(845) 294-4241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 013072NYS NY Primary

Addresses

Primary practice location

305 Main St
Goshen, NY 10924-1638

Mailing address

305 Main St
Goshen, NY 10924-1638
Phone (845) 294-4241

National Provider Directory

National Provider Directory

Locations

305 Main St
Goshen, NY 10924
Phone (845) 294-4241

NPI Registry JSON

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1235568825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MAIN ST",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109241638",
            "telephone_number": "845-294-4241",
            "fax_number": "845-294-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MAIN ST",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109241638",
            "telephone_number": "845-294-4241",
            "fax_number": "845-294-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOSHEN PSYCHOLOGY, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "KLINGER-ROSENFELD",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-294-4241",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "013072NYS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.