NPIMap

Organization Active NPI

Leonard Goldberg Psychologist PHD PC

  • Clinical Psychologist
  • Brooklyn, NY
National Provider Identifier
1659326577
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4695 Issued in NY
Legal business name
LEONARD GOLDBERG PSYCHOLOGIST PHD PC
Practice address
1274 E 72ND St
Brooklyn, NY 11234-5817
Phone
(718) 763-5444
Fax
(718) 531-6088
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Leonard Goldberg, PHD
Title
President
Phone
(718) 763-5444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 4695 NY Primary

Addresses

Primary practice location

1274 E 72ND St
Brooklyn, NY 11234-5817

Mailing address

1274 E 72ND St
Brooklyn, NY 11234-5817
Phone (718) 763-5444

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659326577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1274 E 72ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345817",
            "telephone_number": "718-763-5444",
            "fax_number": "718-531-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1274 E 72ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345817",
            "telephone_number": "718-763-5444",
            "fax_number": "718-531-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARD GOLDBERG PSYCHOLOGIST PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-763-5444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "4695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.