Rosalind Goldfarb, PHD CCDC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

02123 Issued in MD

Practice address

3309 Shirley LN
Chevy Chase, MD 20815-3906

Phone

(301) 258-2626

Fax

(301) 654-1612

NPI assigned

Jan 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DC

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, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Circle Treatment Center PC

  • Clinical Psychologist
  • Chevy Chase, MD
  • NPI 1275513251

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1255301495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3309 SHIRLEY LN",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208153906",
            "telephone_number": "301-258-2626",
            "fax_number": "301-654-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 SHIRLEY LN",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208153906",
            "telephone_number": "301-258-2626",
            "fax_number": "301-654-1612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "424 N Frederick Ave",
            "address_2": "8A, Circle Treatment Center PC",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "20877",
            "country_code": "US",
            "telephone_number": "301-258-2626",
            "fax_number": "301-258-9744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDFARB",
        "first_name": "ROSALIND",
        "name_prefix": "Dr.",
        "credential": "PHD CCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "MD2123",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "4106",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810002291",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "02123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116981500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "283821",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glen Echo Surgery Center, LLC
• Caroline Glick, PA-C
• Erin Elizabeth Glickman, AUD
• Melissa Lee Goble, AUD
• Thomas Spencer Goldbaum, M.D.
• Amy E. Goldfrank
• Patricia Garcia Golding, LCSW C
• Sara Goldkind, MD
• Michael E. Goldsmith, M.D.
• Andre P Goldson, DPT

• Clinical Psychologist in Chevy Chase, MD
• Providers in Chevy Chase, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.