Marvin Scott Goldstein, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

370 Issued in GA

Practice address

584 Spender Trce
Atlanta, GA 30350-5018

Phone

(770) 512-8000

NPI assigned

May 15, 2007

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 GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Aberth Inc

  • Cognitive & Behavioral Psychologist
  • Atlanta, GA
  • NPI 1144436007
  Medicare reassignment NPD Authorized official
• Hypnosis Clinic Inc

  • Psychologist
  • Atlanta, GA
  • NPI 1821204793
  NPD (past) Authorized official

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487860342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 SPENDER TRCE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303505018",
            "telephone_number": "770-512-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 SPENDER TRCE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303505018",
            "telephone_number": "770-512-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "MARVIN",
        "middle_name": "SCOTT",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Goldstein, NNP-BC
• Edward M Goldstein, MD
• Felicia Caren Goldstein, PH.D.
• James Goldstein, FNP-C
• Madeleine Goldstein, DO, MPH
• Melissa Goldstein, LPC, NCC
• Richard Goldstein, M.D.
• Ronald Erving Goldstein, D.D.S.
• Susan T Goldstein, MD
• Kara Goldstone

• Clinical Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Psychologist in Georgia

• 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.