Active NPI
Andrea Moss Goldensohn, PSYD
- Clinical Psychologist
- Rockville, MD
National Provider Identifier
1619150281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 02254
- Practice address
- 3204 Tower Oaks Blvd
Suite 310
Rockville, MD 20852-4250 - Phone
- (301) 468-7711
- Fax
- (301) 468-7717
- NPI assigned
- Dec 6, 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 02254 | MD | Primary |
Addresses
Primary practice location
3204 Tower Oaks Blvd
Suite 310
Rockville, MD 20852-4250
Mailing address
3204 Tower Oaks Blvd
Suite 310
Rockville, MP 20852-4250
Phone (301) 468-7711
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 Jan 1, 2018 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02254 | MD | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David S. Irwin, M.D.,P.a. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Geriatric Psychiatry Physician
- Gaithersburg, MD
- NPI 1366866808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196899200000",
"number": "1619150281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3204 TOWER OAKS BLVD",
"address_2": "SUITE 310",
"city": "ROCKVILLE",
"state": "MP",
"postal_code": "208524250",
"telephone_number": "301-468-7711",
"fax_number": "301-468-7717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3204 TOWER OAKS BLVD",
"address_2": "SUITE 310",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208524250",
"telephone_number": "301-468-7711",
"fax_number": "301-468-7717"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDENSOHN",
"first_name": "ANDREA",
"middle_name": "MOSS",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-06",
"last_updated": "2007-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "02254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.