Active NPI
Marvin Goldstein, PH.D.
- Psychologist
- Manhasset, NY
National Provider Identifier
1568526515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 005612
- Practice address
- 444 Community Dr
444 Community Drive
Manhasset, NY 11030-3820 - Phone
- (516) 627-7479
- Fax
- (516) 773-8509
- NPI assigned
- Dec 21, 2006
- Sex
- Male
- 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 | 005612 | NY | Primary |
Addresses
Primary practice location
444 Community Dr
444 Community Drive
Manhasset, NY 11030-3820
Mailing address
444 Community Dr
Manhasset, NY 11030-3820
Phone (516) 627-7479
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005612 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568526515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 COMMUNITY DR",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303820",
"telephone_number": "516-627-7479",
"fax_number": "516-773-8509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 COMMUNITY DR",
"address_2": "444 COMMUNITY DRIVE",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303820",
"telephone_number": "516-627-7479",
"fax_number": "516-773-8509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTEIN",
"first_name": "MARVIN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "005612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manhasset, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.