Individual provider Active NPI

Sari Goldman, PSYD

  • Psychologist
  • Villanova, PA
National Provider Identifier
1336479708
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS018002 Issued in PA
Practice address
1200 Pinewood Rd
Villanova, PA 19085-2135
Phone
(267) 515-2845
NPI assigned
Jan 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW01716 PA
Psychologist 103T00000X PS018002 PA Primary

Addresses

Primary practice location

1200 Pinewood Rd
Villanova, PA 19085-2135

Mailing address

1200 Pinewood Rd
Villanova, PA 19085-2135
Phone (267) 515-2845

Other practice location 1

2910 Franks Rd
Huntingdon Valley, PA 19006-4255
Phone (215) 947-8654

Other practice location 2

1270 Fairland Dr
Ambler, PA 19002-1326
Phone (215) 628-0994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PS018002PAMDPsychologist
CW01716PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Growth Opportunity Center Past Accepting new patients

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": "1262822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1336479708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PINEWOOD RD",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190852135",
            "telephone_number": "267-515-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PINEWOOD RD",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190852135",
            "telephone_number": "267-515-2845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2910 Franks Rd",
            "address_purpose": "LOCATION",
            "city": "Huntingdon Valley",
            "state": "PA",
            "postal_code": "190064255",
            "country_code": "US",
            "telephone_number": "215-947-8654",
            "fax_number": "215-938-7607",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1270 Fairland Dr",
            "address_purpose": "LOCATION",
            "city": "Ambler",
            "state": "PA",
            "postal_code": "190021326",
            "country_code": "US",
            "telephone_number": "215-628-0994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "SARI",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW01716",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS018002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villanova, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.