Mark P. Goldman, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

22476 Issued in TX

Legal business name

MARK P. GOLDMAN, P.C.

Practice address

222 Sidney Baker S
Suite 500
Kerrville, TX 78028-5994

Phone

(830) 895-1840

Fax

(830) 896-9340

NPI assigned

Jul 9, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mark Paul Goldman, PH.D.NPI 1740399328

Title

Psychologist

Phone

(830) 895-1840

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark P Goldman, PH. D.

  • Clinical Neuropsychologist
  • Kerrville, TX
  • NPI 1740399328
  Medicare reassignment NPD Authorized official
• Alyson Leigh Redman, FNP-BC, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kerrville, TX
  • NPI 1114120680
  NPD

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1497067169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291993",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780291993",
            "telephone_number": "830-895-1840",
            "fax_number": "830-896-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SIDNEY BAKER S",
            "address_2": "SUITE 500",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285994",
            "telephone_number": "830-895-1840",
            "fax_number": "830-896-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK P. GOLDMAN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-09",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "830-895-1840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "22476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Stephen Malone, PT MT
• Mama to the Core LLC
• Rachel Maner
• Charles Thomas Marino
• Mark Fitzgerald, MD
• Lindsay Taylor Markoski
• Susan Marks
• Cynthia Dianne Marrs, LPC
• Wayne Dean Marrs Jr., LCSW
• Marsha Nunley MD PA

• Clinical Psychologist in Kerrville, TX
• Providers in Kerrville, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.