Individual provider Active NPI

Jessica Goldman, DNP, LCSW, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • White Plains, NY
National Provider Identifier
1508202342
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
402992 Issued in NY
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

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
72 088144NYMDSocial Worker
760350NYMDPsychiatric/Mental Health Registered Nurse
402992NYMDPsychiatric/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

Verify at the official NPI Registry.