Individual provider Active NPI

Nava Goldenholz, PH.D.

  • Clinical Psychologist
  • Sunrise, FL
National Provider Identifier
1295895589
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY3324 Issued in FL
Practice address
3132 NW 88TH Ave
Sunrise, FL 33351-7333
Phone
(954) 742-0797
Fax
(954) 742-3093
NPI assigned
Dec 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PY3324 FL Primary

Addresses

Primary practice location

3132 NW 88TH Ave
Sunrise, FL 33351-7333

Mailing address

3132 NW 88TH Ave
Sunrise, FL 33351-7333
Phone (954) 742-0797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110411000177 FL Practitioner - Clinical Psychologist 2264616697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1975
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3132 N Pine Island Rd
Sunrise, FL 33351-7333
Phone (954) 742-0797

3132 NW 88TH Ave
Sunrise, FL 33351-7333

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nava Goldenholz PH.D. P.a. Clinical CurrentSince Aug 20, 2010 Accepting new patients

Locations

1325 S Congress Ave
Ste 200
Boynton Beach, FL 33426
Phone (561) 336-5792

3132 N Pine Island Rd
Sunrise, FL 33351
Phone (954) 742-0797

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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": "1165622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295895589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3132 NW 88TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517333",
            "telephone_number": "954-742-0797",
            "fax_number": "954-742-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3132 NW 88TH AVE",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517333",
            "telephone_number": "954-742-0797",
            "fax_number": "954-742-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDENHOLZ",
        "first_name": "NAVA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY3324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

Verify at the official NPI Registry.