Richard F Gomberg, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

155612 Issued in MA

Practice address

1647 Beacon St
Suite 5
Newton, MA 02468-1512

Phone

(617) 796-8804

NPI assigned

May 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Psychiatry

Education

Harvard Medical School, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Newton-Wellesley Behavioral Medicine & Eating Disorders

  • Clinical Psychologist
  • Brookline, MA
  • NPI 1891725792
  NPD (past)
• Newton-Wellesley Eating Disorders & Behavioral Medicine

  • Clinical Psychologist
  • Brookline, MA
  • NPI 1053389007
  NPD (past)

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487612339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1647 BEACON ST",
            "address_2": "SUITE 5",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024681512",
            "telephone_number": "617-796-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 BEACON ST",
            "address_2": "SUITE 5",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024681512",
            "telephone_number": "617-796-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMBERG",
        "first_name": "RICHARD",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "155612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Goldring
• Lynn Goldsmith
• Ashley Goldstein, M.S. SLP
• Renee Beth Goldstein
• Dale Todd Golembeski, R.N.,C.S.
• Gabriela Gomes Vieira
• Eduardo Gomez
• Kaitlin Gomez
• Lauren Elizabeth Gonet, MSW
• Lindsay Noel Gonzales

• Psychiatry Physician in Newton, MA
• Providers in Newton, MA by specialty
• Psychiatry Physician in Massachusetts

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.