Active NPI
Clifford S Golden Edd PA
- Psychologist
- Cooper City, FL
National Provider Identifier
1457426892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY4079
- Legal business name
- CLIFFORD S GOLDEN EDD PA
- Practice address
- 10000 Sterling Road
Suite 6
Cooper City, FL 33024-8067 - Phone
- (954) 436-8326
- Fax
- (954) 433-0603
- NPI assigned
- Nov 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Clifford Stephan Golden, PSYCHOLOGIST EDD PY
- Title
- Corporate President Psychologist
- Phone
- (954) 436-8326
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY4079 | FL | Primary |
Addresses
Primary practice location
10000 Sterling Road
Suite 6
Cooper City, FL 33024-8067
Mailing address
3531 Thomas Street
Hollywood, FL 33021-3611
Phone (954) 961-5987
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1457426892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3531 THOMAS STREET",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213611",
"telephone_number": "954-961-5987",
"fax_number": "954-433-0603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 STERLING ROAD",
"address_2": "SUITE 6",
"city": "COOPER CITY",
"state": "FL",
"postal_code": "330248067",
"telephone_number": "954-436-8326",
"fax_number": "954-433-0603"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLIFFORD S GOLDEN EDD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GOLDEN",
"authorized_official_first_name": "CLIFFORD",
"authorized_official_middle_name": "STEPHAN",
"authorized_official_title_or_position": "CORPORATE PRESIDENT PSYCHOLOGIST",
"authorized_official_telephone_number": "954-436-8326",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYCHOLOGIST EDD PY"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "FL",
"license": "PY4079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cooper City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.