Active NPI
Barbara Lee Goldstein, MD
- Psychiatry Physician
- Canton, MA
National Provider Identifier
1477651156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 55462
- Practice address
- 275 Turnpike St
Suite 105
Canton, MA 02021 - Phone
- (781) 828-8968
- Fax
- (781) 821-1743
- NPI assigned
- Sep 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 55462 | MA | Primary |
Addresses
Primary practice location
275 Turnpike St
Suite 105
Canton, MA 02021
Mailing address
275 Turnpike St
Suite 105
Canton, MA 02021
Phone (781) 828-8968
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J06398 | Other | MA | BCBS |
| 055462 | Other | MA | TUFTS HMO |
| 3018636 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2018 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55462 | MA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477651156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 TURNPIKE ST",
"address_2": "SUITE 105",
"city": "CANTON",
"state": "MA",
"postal_code": "02021",
"telephone_number": "781-828-8968",
"fax_number": "781-821-1743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 TURNPIKE ST",
"address_2": "SUITE 105",
"city": "CANTON",
"state": "MA",
"postal_code": "02021",
"telephone_number": "781-828-8968",
"fax_number": "781-821-1743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "BARBARA",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "55462",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "J06398",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HMO",
"identifier": "055462",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3018636",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canton, MA
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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.