Noel A Goldberg, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810003320 Issued in VA

Practice address

360 Maple Ave W Ste F
Vienna, VA 22180-5614

Phone

(703) 935-0058

Fax

(703) 935-0057

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 1, 2017 through Mar 1, 2027

Medicare enrollment (NPD)

Not enrolled

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.

• Dr. Goldberg & Associates

  • Clinical Psychologist
  • Vienna, VA
  • NPI 1437586526
  NPD Authorized official
• Boyd Cowan, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Alexandria, VA
  • NPI 1801353719
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1497865430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 MAPLE AVE W STE F",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221805614",
            "telephone_number": "703-935-0058",
            "fax_number": "703-935-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MAPLE AVE W STE F",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221805614",
            "telephone_number": "703-935-0058",
            "fax_number": "703-935-0057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1749 Old Meadow Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221024326",
            "country_code": "US",
            "telephone_number": "703-935-0058",
            "fax_number": "703-935-0057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6300 Stevenson Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223043554",
            "country_code": "US",
            "telephone_number": "703-935-0058",
            "fax_number": "703-935-0057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11495 Sunset Hills Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201905213",
            "country_code": "US",
            "telephone_number": "703-935-0058",
            "fax_number": "703-935-0057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Michael Faraday Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201905312",
            "country_code": "US",
            "telephone_number": "703-935-0058",
            "fax_number": "703-935-0057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "228 S Washington St Ste 310",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223145404",
            "country_code": "US",
            "telephone_number": "703-935-0058",
            "fax_number": "703-935-0057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "NOEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY1000358",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Giunta, N.D.
• Lewis Paul Glasener, LCSW,BCD
• Kirsten Martin Goetz, MSN, APRN, FNP-BC
• Sree Lakshmi Gogineni, M.D.
• Douglas Gold, D.C.
• Hemanjani Gonchigar, M.D.
• Angel Gonzalez
• Montserrat Gonzalez
• Sarah Emily Gonzalez
• Good Day Total Health Clinic PC

• Clinical Psychologist in Vienna, VA
• Providers in Vienna, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.