Individual provider Active NPI

Elisha Tal Goldstein, PSYD

  • Psychologist
  • Merrick, NY
National Provider Identifier
1336848050
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
012413-01 Issued in NY
Practice address
1757 Merrick Ave Ste 106
Merrick, NY 11566-2717
Phone
(516) 247-6449
Fax
(516) 407-2898
NPI assigned
Mar 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 012413-01 NY Primary

Addresses

Primary practice location

1757 Merrick Ave Ste 106
Merrick, NY 11566-2717

Mailing address

1757 Merrick Ave Ste 106
Merrick, NY 11566-2717
Phone (516) 247-6449

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
012413-01NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling for You Long Island CurrentSince Mar 5, 2023 Accepting new patients
Cristina Murphy Mental Health Counseling, P.C. PastSince Mar 5, 2023 Accepting new patients

Locations

1035 Park Blvd
Ste 2C
Massapequa Park, NY 11762
Phone (516) 247-6449

1757 Merrick Ave
Ste 106
Merrick, NY 11566
Phone (516) 247-6449

303 5th Ave
Rm 905
New York, NY 10016
Phone (347) 620-2181

389 Merrick Ave
North Merrick, NY 11566
Phone (516) 247-6449

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1336848050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1757 MERRICK AVE STE 106",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115662717",
            "telephone_number": "516-247-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1757 MERRICK AVE STE 106",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115662717",
            "telephone_number": "516-247-6449",
            "fax_number": "516-407-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "ELISHA",
        "middle_name": "TAL",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "012413-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.