Organization Active NPI

Neuropsychological & Educational Services

  • Clinical Neuropsychologist
  • Providence, RI
National Provider Identifier
1487795266
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PS00805 Issued in RI
Legal business name
NEUROPSYCHOLOGICAL & EDUCATIONAL SERVICES
Practice address
295 Angell St
Providence, RI 02906-2119
Phone
(401) 521-0034
Fax
(401) 521-0035
NPI assigned
Feb 12, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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. Terry Harrison Goldman, ED.D.
Title
Ownerneuropsychologist
Phone
(401) 521-0034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X PS00805 RI Primary

Addresses

Primary practice location

295 Angell St
Providence, RI 02906-2119

Mailing address

295 Angell St
Providence, RI 02906-2119
Phone (401) 521-0034

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487795266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 ANGELL ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062119",
            "telephone_number": "401-521-0034",
            "fax_number": "401-521-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 ANGELL ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062119",
            "telephone_number": "401-521-0034",
            "fax_number": "401-521-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPSYCHOLOGICAL & EDUCATIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "HARRISON",
        "authorized_official_title_or_position": "OWNERNEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "401-521-0034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "RI",
            "license": "PS00805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

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.