Dr. Goldberg & Associates

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810003320 Issued in VA

Legal business name

DR. GOLDBERG & ASSOCIATES

Practice address

360 Maple Ave W Ste F
Vienna, VA 22180-5614

Phone

(703) 935-0058

Fax

(703) 935-0057

NPI assigned

Oct 3, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Noel Goldberg, PSY.D.NPI 1497865430

Title

Owner

Phone

(703) 935-0058

Specialties & licenses 1

Addresses

Locations

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Noel A Goldberg, PSY.D.

  • Clinical Psychologist
  • Vienna, VA
  • NPI 1497865430
  NPD Authorized official
• Kyle Standiford, PSY.D.

  • Clinical Psychologist
  • Vienna, VA
  • NPI 1033568639
  NPD
• Raymond Abraham Bradni, PSYCHOLOGIST PHD

  • Clinical Psychologist
  • Burke, VA
  • NPI 1609479781
  NPD (past)
• Justin Burgess

  • Clinical Psychologist
  • Fort Gregg Adams, VA
  • NPI 1396419891
  NPD (past)
• Taylor Boyd Cowan, MA

  • Psychiatric/Mental Health Nurse Practitioner
  • Alexandria, VA
  • NPI 1265833784
  NPD (past)
• Karen M De Mijango, LCSW

  • Clinical Social Worker
  • Alexandria, VA
  • NPI 1326801655
  NPD (past)
• Anneke Geel, MSW, LICSW

  • Clinical Social Worker
  • Alexandria, VA
  • NPI 1619304508
  NPD (past)
• Tierra S Glymph, LCSW

  • Clinical Social Worker
  • Alexandria, VA
  • NPI 1841923232
  NPD (past)
• Sean Caldwell Graham, LCSW

  • Clinical Social Worker
  • Alexandria, VA
  • NPI 1689681900
  NPD (past)
• Jennifer Marie Greene, LCSW

  • Clinical Social Worker
  • Alexandria, VA
  • NPI 1871122648
  NPD (past)
• Mfrie-Emem Ifiok Imoh, LPC

  • Professional Counselor
  • Reston, VA
  • NPI 1164144283
  NPD (past)
• Britney Jordan

  • Professional Counselor
  • Alexandria, VA
  • NPI 1023731445
  NPD (past)

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1437586526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 MAPLE AVE W STE F",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221805614",
            "telephone_number": "518-542-5664",
            "fax_number": "703-935-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MAPLE AVE W STE F",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221805614",
            "telephone_number": "703-935-0058",
            "fax_number": "703-935-0057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1749 Old Meadow Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221024326",
            "country_code": "US",
            "telephone_number": "703-935-0058",
            "fax_number": "703-935-0057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Michael Faraday Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201905312",
            "country_code": "US",
            "telephone_number": "703-935-0058",
            "fax_number": "703-935-0057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6300 Stevenson Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223043554",
            "country_code": "US",
            "telephone_number": "703-935-0058",
            "fax_number": "703-935-0057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11495 Sunset Hills Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201905213",
            "country_code": "US",
            "telephone_number": "703-935-0058",
            "fax_number": "703-935-0057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "228 S Washington St Ste 310",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223145404",
            "country_code": "US",
            "telephone_number": "703-935-0058",
            "fax_number": "703-935-0057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. GOLDBERG & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "NOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-935-0058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Vienna, VA
• Providers in Vienna, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.