Gustavo Alberto Goldstein, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

D41482 Issued in MD

Practice address

966 Hungerford Dr
Suite 14 B
Rockville, MD 20850-1714

Phone

(301) 351-7492

Fax

(301) 545-0195

NPI assigned

Aug 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Gustavo Alberto Goldstein Herman Other name

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

PsychiatryAlso: Neuropsychiatry

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Montgomery County Maryland GovernmentGroup PAC ID 4981675477, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gustavo.goldstein.p1@direct.mcg-hhs.nextgenshare.com
• Direct secure messaging: gustavo.goldstein.p3@direct.mcg-hhs.nextgenshare.com

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.

• Montgomery County Maryland Government

  dba Adult Behavioral Health Clinic

  • Adult Mental Health Clinic/Center
  • Silver Spring, MD
  • NPI 1104946482

  DC

  Medicare reassignment Care Compare group NPD
• Montgomery County Maryland Government

  • Community/Behavioral Health Agency
  • Rockville, MD
  • NPI 1326939570
  NPD
• Montgomery County Maryland Government

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Rockville, MD
  • NPI 1639576895
  NPD

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396858072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10808 SECLUDED WAY",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208784335",
            "telephone_number": "301-351-7492",
            "fax_number": "301-545-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 HUNGERFORD DR",
            "address_2": "SUITE 14 B",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501714",
            "telephone_number": "301-351-7492",
            "fax_number": "301-545-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "GUSTAVO",
        "middle_name": "ALBERTO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D41482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GUSTAVO",
            "last_name": "GOLDSTEIN HERMAN",
            "middle_name": "ALBERTO",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marcia P Goldmark, M.D.
• Adrianna Goldring
• Nidhi Dheman Goldschen, DO
• Deborah Cohen Goldstein, LCSW C
• Elliot Robert Goldstein, MD
• Haya Goldstein, LCPC
• Laura Goldstein, LCMFT
• Miles Grant Goldstein, MSW
• Miriam Goldstein, LMSW
• Melissa Ryan Goldstone

• Psychiatry Physician in Rockville, MD
• Providers in Rockville, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.