Organization Active NPI

Nava Goldenholz PH.D. P.a.

  • Clinical Psychologist
  • Sunrise, FL
National Provider Identifier
1356647804
Registry record updated Feb 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY3324 Issued in FL
Legal business name
NAVA GOLDENHOLZ PH.D. P.A.
Practice address
3132 N. Pine Island Road
Sunrise, FL 33351-7333
Phone
(954) 742-0797
Fax
(954) 742-3093
NPI assigned
Feb 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2011

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

Authorized official

Name
Dr. Nava Goldenholz, PH.D.NPI 1295895589
Title
President
Phone
(964) 742-0797

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PY3324 FL Primary

Addresses

Primary practice location

3132 N. Pine Island Road
Sunrise, FL 33351-7333

Mailing address

3132 N. Pine Island Road
Sunrise, FL 33351-7333
Phone (954) 742-0797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110408000672 FL Part B Supplier - Clinic/Group Practice 4587848999 Receives reassigned benefits from 1 practitioner
Practice locations: Boynton Beach, FL; Sunrise, FL

National Provider Directory

National Provider Directory

Locations

1325 S Congress Ave
Ste 200
Boynton Beach, FL 33426
Phone (561) 336-5792

3132 N Pine Island Rd
Sunrise, FL 33351
Phone (954) 742-0797

Networks

  • HealthSun Health Plans Network

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": "1296518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296518400000",
    "number": "1356647804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3132 N. PINE ISLAND ROAD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517333",
            "telephone_number": "954-742-0797",
            "fax_number": "954-742-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3132 N. PINE ISLAND ROAD",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517333",
            "telephone_number": "954-742-0797",
            "fax_number": "954-742-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVA GOLDENHOLZ PH.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-01",
        "last_updated": "2011-02-01",
        "status": "A",
        "authorized_official_last_name": "GOLDENHOLZ",
        "authorized_official_first_name": "NAVA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "964-742-0797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY3324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunrise, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.