Robert Goldman, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

016477 Issued in NY

Practice address

283 Commack Rd
Commack, NY 11725-6021

Phone

(631) 499-7500

Fax

(631) 499-0534

NPI assigned

Jul 17, 2012

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Psychological Restorative Solutions

  • Psychologist
  • Commack, NY
  • NPI 1154157626
  NPD Authorized official
• Turning Points CFS, Inc.

  • Psychologist
  • Commack, NY
  • NPI 1093909061
  NPD (past)

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342483200000",
    "number": "1265787139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 SUTTONWOOD DR",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117255614",
            "telephone_number": "631-499-7500",
            "fax_number": "631-499-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "283 COMMACK RD",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117256021",
            "telephone_number": "631-499-7500",
            "fax_number": "631-499-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "016477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dakota Godek
• Gold Coast Dermatology PC
• Gold Coast Physical Therapist and Physical Therapy Assistant PLLC
• Brian Goldberg, PSY.D., BCBA-D
• Zoe Goldberg, MD
• Victoria Leigh Goldson, PT
• Karah Goldstein, MHC-LP
• Susan Amy Goldstein, MS SPECIAL ED.
• Ivette G Gomez, RN
• Teresa M Goncalves, ANP-C

• Psychologist in Commack, NY
• Providers in Commack, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.