Active NPI
Jessica Goldman, DNP, LCSW, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- White Plains, NY
National Provider Identifier
1508202342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 402992
- Practice address
- 280 Dobbs Ferry Rd Ste 205
White Plains, NY 10607-1912 - Phone
- (914) 372-6833
- NPI assigned
- May 20, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 760350 | NY | |
| Social Worker | 104100000X | 72 088144 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 402992 | NY | Primary |
Addresses
Primary practice location
280 Dobbs Ferry Rd Ste 205
White Plains, NY 10607-1912
Mailing address
280 Dobbs Ferry Rd Ste 205
White Plains, NY 10607-1912
Phone (914) 372-6833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72 088144 | NY | MD | Social Worker |
| 760350 | NY | MD | Psychiatric/Mental Health Registered Nurse |
| 402992 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780444800000",
"number": "1508202342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 DOBBS FERRY RD STE 205",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106071912",
"telephone_number": "914-372-6833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 DOBBS FERRY RD STE 205",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106071912",
"telephone_number": "914-372-6833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDMAN",
"first_name": "JESSICA",
"credential": "DNP, LCSW, PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-20",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "NY",
"license": "760350",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "72 088144",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "402992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.