Active NPI
Rachel Goldman, PHD
- Clinical Psychologist
- New York, NY
National Provider Identifier
1487148854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 022244
- Practice address
- 302 5TH Ave
11TH Floor, #1112
New York, NY 10001 - Phone
- (646) 609-6323
- NPI assigned
- Jun 19, 2018
- Last updated
- Feb 1, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY29980 | CA | |
| Clinical Psychologist | 103TC0700X | 022244 | NY | Primary |
Addresses
Primary practice location
302 5TH Ave
11TH Floor, #1112
New York, NY 10001
Mailing address
PO Box 330094
San Francisco, CA 94133-0094
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY29980 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1487148854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 330094",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941330094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 5TH AVE",
"address_2": "11TH FLOOR, #1112",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10001",
"telephone_number": "646-609-6323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDMAN",
"first_name": "RACHEL",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-19",
"last_updated": "2023-02-01",
"certification_date": "2023-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY29980",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "022244",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.