Individual provider Active NPI

Amy E Goldfarb, PHD

  • Psychologist
  • New Haven, CT
National Provider Identifier
1285730739
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
CT001398 Issued in CT
Practice address
240 Bradley St
New Haven, CT 06510-1108
Phone
(203) 850-7057
NPI assigned
Sep 15, 2006
Last updated
Mar 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X CT001398 CT Primary

Addresses

Primary practice location

240 Bradley St
New Haven, CT 06510-1108

Mailing address

240 Bradley St
New Haven, CT 06510-1108
Phone (203) 850-7057

Other practice location 1

44 Long Hill Rd
Guilford, CT 06437-1870
Phone (203) 850-7057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080317000211 CT Practitioner - Clinical Psychologist 8729163647 Practice locations: Guilford, CT; New Haven, CT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

240 Bradley St
New Haven, CT 06510-1108
Phone (203) 850-7057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1398CTMDMental Health Counselor
CT001398CTMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia M Shiller, PH.D., LLC Psychologist CurrentSince Mar 20, 2022 Accepting new patients
Barbara Greten Psychotherapy, LLC Past Accepting new patients

Locations

240 Bradley St
New Haven, CT 06510
Phone (203) 776-1499

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1285730739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 BRADLEY ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065101108",
            "telephone_number": "203-850-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 BRADLEY ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065101108",
            "telephone_number": "203-850-7057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 Long Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Guilford",
            "state": "CT",
            "postal_code": "064371870",
            "country_code": "US",
            "telephone_number": "203-850-7057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDFARB",
        "first_name": "AMY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "CT001398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.