Jonathan E. Goldberg, PH.D., Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

8500 Issued in MA

Legal business name

JONATHAN E. GOLDBERG, PH.D., INC.

Doing business as

Life Changes

Practice address

875 Massachusetts Ave
Suite 64
Cambridge, MA 02139-3067

Phone

(617) 928-8891

NPI assigned

Feb 3, 2009

Last updated

Feb 3, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan E. Goldberg, PH.D.NPI 1164575742

Title

President/Ceo

Phone

(617) 928-8891

Specialties & licenses 1

Addresses

Other names 1

• Life Changes Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan Edward Goldberg, PH.D.

  • Clinical Psychologist
  • Cambridge, MA
  • NPI 1164575742
  Authorized official Same address or phone

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1255579918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 MASSACHUSETTS AVE",
            "address_2": "SUITE 64",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393067",
            "telephone_number": "617-928-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 MASSACHUSETTS AVE",
            "address_2": "SUITE 64",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021393067",
            "telephone_number": "617-928-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN E. GOLDBERG, PH.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "617-928-8891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "8500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Changes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Henry Johnstone
• Mary Parker Johnstone
• Joint Ventures Physical Therapy, Inc. (HighBar)
• Ruth S. Jolicoeur, BSN
• Janty Louis Jonah
• Jonathan R Pena OD PC
• Shenika Jonathas
• Nehemie Jones-Swaby, LCSW
• Alexis Michelle Jones, PHD
• Amy Jones, LICSW

• Clinical Psychologist in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.