Organization Active NPI

Cristina L. Goldizen

  • Psychiatry Physician
  • Petersburg, WV
National Provider Identifier
1306032016
Registry record updated Sep 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
17694 Issued in WV
Legal business name
CRISTINA L. GOLDIZEN
Practice address
10 Valley View St Ste 203
Petersburg, WV 26847-9543
Phone
(304) 257-4128
Fax
(304) 257-4673
NPI assigned
Sep 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2007

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

Authorized official

Name
Cristina Goldizen, MDNPI 1467553180
Title
Owner
Phone
(304) 257-4128

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 17694 WV Primary

Addresses

Primary practice location

10 Valley View St Ste 203
Petersburg, WV 26847-9543

Mailing address

10 Valley View St Ste 203
Petersburg, WV 26847-9543
Phone (304) 257-4128

National Provider Directory

National Provider Directory

Locations

422 S Main St
Ste G
Moorefield, WV 26836
Phone (304) 538-2331

10 Valley St
Ste 203
Petersburg, WV 26847
Phone (304) 257-4128

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190073600000",
    "number": "1306032016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 VALLEY VIEW ST STE 203",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268479543",
            "telephone_number": "304-257-4128",
            "fax_number": "304-257-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 VALLEY VIEW ST STE 203",
            "city": "PETERSBURG",
            "state": "WV",
            "postal_code": "268479543",
            "telephone_number": "304-257-4128",
            "fax_number": "304-257-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISTINA L. GOLDIZEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2007-09-18",
        "status": "A",
        "authorized_official_last_name": "GOLDIZEN",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-257-4128",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "17694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; 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.