Organization Active NPI

Clifford S Golden Edd PA

  • Psychologist
  • Cooper City, FL
National Provider Identifier
1457426892
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY4079 Issued in FL
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.