Active NPI
Hannah Goldman, PHD
- Clinical Psychologist
- New York, NY
National Provider Identifier
1275888372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 023238-01
- Practice address
- 71 W 12TH St Ofc 3
New York, NY 10011-8564 - Phone
- (636) 912-8585
- NPI assigned
- Jul 16, 2012
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 023238-01 | NY | Primary |
Addresses
Primary practice location
71 W 12TH St Ofc 3
New York, NY 10011-8564
Mailing address
635 W 165TH St
4TH & 6TH Floor
New York, NY 10032-3724
Phone (212) 305-5977
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023238-01 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567468800000",
"number": "1275888372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 W 165TH ST",
"address_2": "4TH & 6TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323724",
"telephone_number": "212-305-5977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 W 12TH ST OFC 3",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100118564",
"telephone_number": "636-912-8585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDMAN",
"first_name": "HANNAH",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-16",
"last_updated": "2019-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "023238-01",
"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 Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.