Individual provider Active NPI

Geoffrey Vernon Steinberg, PSY.D.

  • Clinical Psychologist
  • Philadelphia, PA
National Provider Identifier
1265488696
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
016942 Issued in NY
Practice address
123 S Broad St Ste 2540
Philadelphia, PA 19109-6601
Phone
(215) 410-7024
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 016942 NY Primary

Addresses

Primary practice location

123 S Broad St Ste 2540
Philadelphia, PA 19109-6601

Mailing address

123 S Broad St Ste 2540
Philadelphia, PA 19109-6601
Phone (215) 410-7024

Other identifiers 2

IdentifierTypeStateIssuer
016942OtherNYPSYCHOLOGIST LICENSE
11743702OtherCAQH ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2026 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
016942NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pesach Tikvah Hope Development Inc Past Accepting new patients
Pesach Tikvah Hope Development Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1265488696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 S BROAD ST STE 2540",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191096601",
            "telephone_number": "215-410-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S BROAD ST STE 2540",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191096601",
            "telephone_number": "215-410-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEINBERG",
        "first_name": "GEOFFREY",
        "middle_name": "VERNON",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2024-06-17",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST LICENSE",
            "identifier": "016942",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID",
            "identifier": "11743702",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.