Organization Active NPI

Edward Goldenberg, MD PSC PC

  • Group Psychotherapy Psychologist
  • Norfolk, VA
National Provider Identifier
1619081742
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
License
0101046618 Issued in VA
Legal business name
EDWARD GOLDENBERG, MD PSC PC
Practice address
930 Redgate Ave
Norfolk, VA 23507-1518
Phone
(757) 626-3733
Fax
(757) 626-3331
NPI assigned
Aug 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Dr. Edward Goldenberg, MD
Title
Director
Phone
(757) 626-3733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TP2701X 0101046618 VA Primary

Addresses

Primary practice location

930 Redgate Ave
Norfolk, VA 23507-1518

Mailing address

930 Redgate Avenue
Norfolk, VA 23507
Phone (757) 626-3733

National Provider Directory

National Provider Directory

Locations

5215 Colley Ave
Ste 131
Norfolk, VA 23508
Phone (757) 626-3733

930 Redgate Ave
Norfolk, VA 23507
Phone (757) 626-3733

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1619081742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 REDGATE AVENUE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23507",
            "telephone_number": "757-626-3733",
            "fax_number": "757-626-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 REDGATE AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071518",
            "telephone_number": "757-626-3733",
            "fax_number": "757-626-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD GOLDENBERG, MD PSC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "GOLDENBERG",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "757-626-3733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "VA",
            "license": "0101046618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.