Active NPI
Claire Golden, PH.D.
- Psychologist
- New York, NY
National Provider Identifier
1285075978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 021019
- Practice address
- 635 W 165TH St
Room 637
New York, NY 10032-3724 - Phone
- (646) 317-0436
- Fax
- (646) 317-1152
- NPI assigned
- Jul 10, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | |||
| Psychologist | 103T00000X | 021019 | NY | Primary |
Addresses
Primary practice location
635 W 165TH St
Room 637
New York, NY 10032-3724
Mailing address
217 27TH St Apt 1
Brooklyn, NY 11232-1601
Phone (347) 446-9307
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 748443131 | Other | NY | SCHOOL PSYCHOLOGY CERTIFICATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021019 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525046400000",
"number": "1285075978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 27TH ST APT 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112321601",
"telephone_number": "347-446-9307",
"fax_number": "646-317-1152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 W 165TH ST",
"address_2": "ROOM 637",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323724",
"telephone_number": "646-317-0436",
"fax_number": "646-317-1152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDEN",
"first_name": "CLAIRE",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-10",
"last_updated": "2018-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "021019",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SCHOOL PSYCHOLOGY CERTIFICATION",
"identifier": "748443131",
"state": "NY"
}
],
"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 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.