Individual provider Active NPI

Cristina L Goldizen, MD

  • Psychiatry Physician
  • Huntington, WV
National Provider Identifier
1467553180
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
17694 Issued in WV
Practice address
55 Donohoe Dr
Huntington, WV 25705-8887
Phone
(304) 525-7851
Fax
(304) 525-1073
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 17694 WV Primary

Addresses

Primary practice location

55 Donohoe Dr
Huntington, WV 25705-8887

Mailing address

99 Cracker Barrel Dr Ste 100
Barboursville, WV 25504-1650
Phone (304) 525-7851

Other practice location 1

376 Kenmore Dr
Danville, WV 25053-7083
Phone (304) 525-7851

Other practice location 2

25 Lincoln Plz
Branchland, WV 25506-9786
Phone (304) 525-7851

Other practice location 3

511 Morris St
Charleston, WV 25301-1326
Phone (304) 525-7851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040714001422 WV Practitioner - Psychiatry 8921094939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
West Virginia University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prestera Center for Mental Health Services IncGroup PAC ID 9234029307, 45 clinicians

Practice addresses (Care Compare)

55 Donohoe Dr
Huntington, WV 25705-8887
Phone (304) 525-7851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H8473TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cristina L. Goldizen Psychiatry PastSince Jan 1, 2003 Accepting new patients
Owensboro Health, Inc Psychiatry Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1467553180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 CRACKER BARREL DR STE 100",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041650",
            "telephone_number": "304-525-7851",
            "fax_number": "304-257-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 DONOHOE DR",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257058887",
            "telephone_number": "304-525-7851",
            "fax_number": "304-525-1073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "376 Kenmore Dr",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "WV",
            "postal_code": "250537083",
            "country_code": "US",
            "telephone_number": "304-525-7851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Lincoln Plz",
            "address_purpose": "LOCATION",
            "city": "Branchland",
            "state": "WV",
            "postal_code": "255069786",
            "country_code": "US",
            "telephone_number": "304-525-7851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "511 Morris St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011326",
            "country_code": "US",
            "telephone_number": "304-525-7851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDIZEN",
        "first_name": "CRISTINA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "17694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.