Active NPI
Dana Goren, PH.D.
- Psychologist
- New York, NY
National Provider Identifier
1255648804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 135 W 50TH St
6TH Floor
New York, NY 10020-1201 - Phone
- (212) 632-4703
- NPI assigned
- Sep 2, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
135 W 50TH St
6TH Floor
New York, NY 10020-1201
Mailing address
135 W 50TH St
6TH Floor
New York, NY 10020-1201
Phone (212) 632-4703
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 13, 2020 through Apr 13, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020557 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334707200000",
"number": "1255648804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 W 50TH ST",
"address_2": "6TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100201201",
"telephone_number": "212-632-4703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 W 50TH ST",
"address_2": "6TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100201201",
"telephone_number": "212-632-4703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOREN",
"first_name": "DANA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-02",
"last_updated": "2012-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.