Henry L. Goldstein, Psy.D., LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

002603 Issued in CT

Legal business name

HENRY L. GOLDSTEIN, PSY.D., LLC

Practice address

609 W Johnson Ave Ste 108
Cheshire, CT 06410-4502

Phone

(203) 439-0130

Fax

(203) 651-7840

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Henry L Goldstein, PSY.D.NPI 1639244171

Title

Psychologist

Phone

(203) 439-0130

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Henry L Goldstein, PSY.D.

  • Clinical Psychologist
  • Cheshire, CT
  • NPI 1639244171
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545955200000",
    "number": "1245305200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 W JOHNSON AVE STE 108",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064104502",
            "telephone_number": "203-439-0130",
            "fax_number": "203-439-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W JOHNSON AVE STE 108",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064104502",
            "telephone_number": "203-439-0130",
            "fax_number": "203-651-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY L. GOLDSTEIN, PSY.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2018-12-28",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "203-439-0130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CT",
            "license": "002603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Cheshire, CT
• Providers in Cheshire, CT by specialty
• Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.