David Michael Goldberg, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

SI3454 Issued in NJ

Practice address

34 Sycamore Ave
Building 2
Little Silver, NJ 07739-1228

Phone

(732) 576-8925

Fax

(732) 576-8814

NPI assigned

Jan 17, 2007

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

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Clinical Psychologist

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

David M. Goldberg, PH.D., P.a.Group PAC ID 0749305878, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• David M. Goldberg, PH.D., P.a.

  • Clinical Psychologist
  • Little Silver, NJ
  • NPI 1043532161
  Medicare reassignment Care Compare group NPD Authorized official
• Little Silver Behavioral Health, LLC

  • Clinical Psychologist
  • Little Silver, NJ
  • NPI 1508353137
  NPD Authorized official

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265932800000",
    "number": "1417009697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 SYCAMORE AVE",
            "address_2": "BUILDING 2",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391228",
            "telephone_number": "732-576-8925",
            "fax_number": "732-576-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 SYCAMORE AVE",
            "address_2": "BUILDING 2",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391228",
            "telephone_number": "732-576-8925",
            "fax_number": "732-576-8814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2010-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "SI3454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Paul Giovine, D.O.
• Susan L. Godwin, LPC
• Susan G Goff, PH.D.
• Michael W. Goione, D.C.
• Goldberg Vision Institute
• Wayne Harold Goldman, PH.D.
• Seeteram Rao Gourkanti, MD
• Samantha Graney, PA-C
• Kenneth A Grossman, M.D.
• Sally Mary Guerrasio, DMD

• Clinical Psychologist in Little Silver, NJ
• Providers in Little Silver, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.