Kenneth J Goldberg, ED.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1045 Issued in AZ

Practice address

600 E Baseline Rd
Suite C-1
Tempe, AZ 85283-1247

Phone

(602) 264-4600

Fax

(602) 264-7325

NPI assigned

Apr 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Clinical Psychologist

Education

Other, 1982

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Goldberg Consulting Group, Inc.

  • Clinical Child & Adolescent Psychologist
  • Tempe, AZ
  • NPI 1184145047
  Medicare reassignment NPD Authorized official
• Goldberg Consulting Group, Inc.

  • Counseling Psychologist
  • Tempe, AZ
  • NPI 1952610735
  NPD (past) Authorized official

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1336104512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E BASELINE RD",
            "address_2": "SUITE C-1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831247",
            "telephone_number": "602-264-4600",
            "fax_number": "602-264-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E BASELINE RD",
            "address_2": "SUITE C-1",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852831247",
            "telephone_number": "602-264-4600",
            "fax_number": "602-264-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "KENNETH",
        "middle_name": "J",
        "credential": "ED.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "1045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Gloria Goldbach, LCSW
• Goldberg Consulting Group, Inc.
• Goldberg Consulting Group, Inc.
• John Michael Goldberg, MD
• Kelsey Rose Goldberg, RBT
• Golden Gate Hospice Inc
• Golden Health Initiative Inc
• Glenn Scot Goldman, D.C.
• Alexis Elaine Goldschmidt, M.S. CF-SLP
• Hayley Jayne Golek, DO

• Psychologist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.