Steven Joel Goldstein
Individual provider Active NPI Clinical Psychologist · East Moriches, NY
NPI 1508526781 · NPPES record last updated Dec 29, 2021
Key facts
- NPI
- 1508526781
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 0050021 (NY)
- Practice address
- 35 Tuthill Point Rd
East Moriches, NY 11940-1216 - Phone
- (914) 419-2328
- NPI assigned
- Dec 29, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0050021 | NY | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | 0050021 | NY | Yes |
Addresses
Primary practice location
35 Tuthill Point Rd
East Moriches, NY 11940-1216
Mailing address
35 Tuthill Point Rd
East Moriches, NY 11940-1216
Phone (914) 419-2328
Other providers in East Moriches, NY
- Meghan A Fay
- Peter Michael Fiscina
- Kristen Forte
- Denise M Gaynor
- Wendy Ann Geehreng
- Katelyn Gorman
- Charles Carlon Grubb
- Simone Simas Gullette
- Sherri Lynn Halucha
- Clare Marie Haughn
All providers in East Moriches, NY · Clinical Psychologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.