Wayne Harold Goldman, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00132800 Issued in NJ

Practice address

44 Sycamore Avenue
Building 3
Little Silver, NJ 07739-1242

Phone

(732) 530-6888

NPI assigned

Apr 23, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Oct 1, 2018 through Oct 1, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427276401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 SYCAMORE AVENUE",
            "address_2": "BUILDING 3",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391242",
            "telephone_number": "732-530-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 SYCAMORE AVENUE",
            "address_2": "BUILDING 3",
            "city": "LITTLE SILVER",
            "state": "NJ",
            "postal_code": "077391242",
            "telephone_number": "732-530-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "WAYNE",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00132800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan L. Godwin, LPC
• Susan G Goff, PH.D.
• Michael W. Goione, D.C.
• Goldberg Vision Institute
• David Michael Goldberg, PH.D.
• Seeteram Rao Gourkanti, MD
• Samantha Graney, PA-C
• Kenneth A Grossman, M.D.
• Sally Mary Guerrasio, DMD
• Feryal Hajee, MD

• 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 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.