Elan Phoebe Golomb

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

412 6TH Ave
710
New York, NY 10011-8409

Phone

(212) 496-6003

Fax

(212) 496-4175

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1427100791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 RYERSON RD",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109903321",
            "telephone_number": "718-923-0408",
            "fax_number": "212-496-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 6TH AVE",
            "address_2": "710",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118409",
            "telephone_number": "212-496-6003",
            "fax_number": "212-496-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLOMB",
        "first_name": "ELAN",
        "middle_name": "PHOEBE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "V27541",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marc S Goloff, MD
• Sophie E Goloff, MS, OTR/L, CHT
• Ethan Gologor, PH.D.
• Rachel Gologorsky
• Beth Golomb, LMSW
• James Golomb, MD
• David Golombeck
• Veronika Golova
• Anastasia Golovanova
• Ekaterina Golovko, MD

• Psychologist in New York, NY
• Providers in New York, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.