Active NPI
Roberta Golden, PH.D.
- Psychologist
- Atlanta, GA
National Provider Identifier
1538301239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- GA#428
- Practice address
- 3423 Piedmont Road
Suite 514
Atlanta, GA 30305 - Phone
- (404) 237-9090
- Fax
- (404) 351-0004
- NPI assigned
- Mar 27, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | GA#428 | GA | Primary |
Addresses
Primary practice location
3423 Piedmont Road
Suite 514
Atlanta, GA 30305
Mailing address
3423 Piedmont Road, N.E.
Suite 514
Atlanta, GA 30305
Phone (404) 237-9090
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: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2014 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GA#428 | GA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238112000000",
"number": "1538301239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3423 PIEDMONT ROAD, N.E.",
"address_2": "SUITE 514",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30305",
"telephone_number": "404-237-9090",
"fax_number": "404-351-0004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3423 PIEDMONT ROAD",
"address_2": "SUITE 514",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30305",
"telephone_number": "404-237-9090",
"fax_number": "404-351-0004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDEN",
"first_name": "ROBERTA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-27",
"last_updated": "2009-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "GA#428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.