Active NPI
Warren Goldfarb, PHD., CASAC
- Psychologist
- Cortlandt Manor, NY
National Provider Identifier
1457368839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6966
- Practice address
- 32 Rick LN W
Cortlandt Manor, NY 10567-5140 - Phone
- (914) 737-5468
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6966 | NY | Primary |
Addresses
Primary practice location
32 Rick LN W
Cortlandt Manor, NY 10567-5140
Mailing address
32 Rick LN W
Cortlandt Manor, NY 10567-5140
Phone (914) 737-5468
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101104000199 | NY | Practitioner - Clinical Psychologist | 2769676683 | Practice locations: Cortlandt Manor, NY |
| I20170525001721 | FL | Practitioner - Clinical Psychologist | 2769676683 | Practice locations: Naples, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6966 | NY | MD | Psychologist |
Interoperability endpoints
- warren.goldfarb@direct.hvhc.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457368839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 RICK LN W",
"city": "CORTLANDT MANOR",
"state": "NY",
"postal_code": "105675140",
"telephone_number": "914-737-5468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 RICK LN W",
"city": "CORTLANDT MANOR",
"state": "NY",
"postal_code": "105675140",
"telephone_number": "914-737-5468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDFARB",
"first_name": "WARREN",
"name_prefix": "Dr.",
"credential": "PHD., CASAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "6966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cortlandt Manor, NY
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.