Active NPI
Rochelle Goldstein, LCSW
- Psychoanalyst
- Nanuet, NY
National Provider Identifier
1558589358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- R0340281
- Practice address
- 101 N Middletown Rd
Nanuet, NY 10954-1929 - Phone
- (845) 627-7605
- NPI assigned
- Apr 24, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | R0340281 | NY | Primary |
Addresses
Primary practice location
101 N Middletown Rd
Nanuet, NY 10954-1929
Mailing address
102 Tennyson Dr
Nanuet, NY 10954-1040
Phone (845) 623-6354
Other names 1
- Shelle Goldstein
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 Feb 6, 2018 through Feb 6, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0340281 | NY | MD | Psychoanalyst |
| 034028 | NY | MD | Geriatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558589358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 TENNYSON DR",
"city": "NANUET",
"state": "NY",
"postal_code": "109541040",
"telephone_number": "845-623-6354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N MIDDLETOWN RD",
"city": "NANUET",
"state": "NY",
"postal_code": "109541929",
"telephone_number": "845-627-7605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "ROCHELLE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "NY",
"license": "R0340281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHELLE",
"last_name": "GOLDSTEIN",
"credential": "LCSW",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Nanuet, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.