Individual provider Active NPI

Erik Paul Goldschmidt, PH.D.

  • Counseling Psychologist
  • Daphne, AL
National Provider Identifier
1346447612
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
1993 Issued in AL
Practice address
25833 State Highway 181 Ste C
Daphne, AL 36526-6101
Phone
(251) 861-1313
NPI assigned
Jun 29, 2007
Last updated
Feb 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 1993 AL Primary

Addresses

Primary practice location

25833 State Highway 181 Ste C
Daphne, AL 36526-6101

Mailing address

PO Box 543
Magnolia Springs, AL 36555-0543
Phone (251) 504-1623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260414001441 TX Practitioner - Clinical Psychologist 0941660856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5811 Jack Springs Rd
Atmore, AL 36502-5025

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Goldschmidt Consulting & Counseling, LLC CurrentSince Feb 19, 2023 Accepting new patients
Riverside Community Care, Inc. PastSince Jan 6, 2017 Accepting new patients

Locations

25833 State Highway 181
Ste C
Daphne, AL 36526
Phone (251) 861-1313

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1346447612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 543",
            "city": "MAGNOLIA SPRINGS",
            "state": "AL",
            "postal_code": "365550543",
            "telephone_number": "251-504-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25833 STATE HIGHWAY 181 STE C",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365266101",
            "telephone_number": "251-861-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSCHMIDT",
        "first_name": "ERIK",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "AL",
            "license": "1993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

Verify at the official NPI Registry.