Active NPI
Edward Goldenberg, MD PSC PC
- Group Psychotherapy Psychologist
- Norfolk, VA
National Provider Identifier
1619081742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Group Psychotherapy Psychologist
- License
- 0101046618
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Group Psychotherapy Psychologist | 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 DirectoryLocations
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.
-
- Clinical Social Worker
- Norfolk, VA
- NPI 1487893764
-
- Clinical Social Worker
- Norfolk, VA
- NPI 1366515157
-
- Professional Counselor
- Norfolk, VA
- NPI 1386717171
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.