Susan Carol Goldman, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

011443-1 Issued in NY

Practice address

623 Warburton Ave
2ND Floor
Hastings on Hudson, NY 10706-1523

Phone

(917) 273-9022

NPI assigned

Apr 1, 2009

Last updated

Apr 1, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238544000000",
    "number": "1245472521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 352",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107060352",
            "telephone_number": "917-273-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 WARBURTON AVE",
            "address_2": "2ND FLOOR",
            "city": "HASTINGS ON HUDSON",
            "state": "NY",
            "postal_code": "107061523",
            "telephone_number": "917-273-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "SUSAN",
        "middle_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "011443-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tricia L Fuller, SPECIAL ED
• Gabrielle Galto, MS, BCBA, LBA
• Eleanor Garrou, LMSW
• Bibiana Geller, LCSW, MA
• Paula Diane Gilbert, LCSW
• Dahlia Gonzalez, LCSW
• John Huntington Gordon, MA, CCC-SLP
• Susan Gray, M.S. CCC-SLP
• Greenburgh Graham Ufsd
• Greenleaf Pharmacy LLC (Greenleaf Pharmacy)

• Psychologist in Hastings on Hudson, NY
• Providers in Hastings on Hudson, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.