Active NPI
Robert Dolgoff, M.D.
- Psychiatry Physician
- Berkeley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G21844
- Practice address
- 1749 Martin Luther King Jr Way
Berkeley, CA 94709-2139 - Phone
- (510) 841-8484
- Fax
- (510) 540-1707
- NPI assigned
- Dec 28, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G21844 | CA | Primary |
Addresses
Primary practice location
1749 Martin Luther King Jr Way
Berkeley, CA 94709-2139
Mailing address
1749 Martin Luther King Jr Way
Berkeley, CA 94709-2139
Phone (510) 841-8484
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Harvard Medical School, 1968
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1749 Martin Luther King Jr Way
Berkeley, CA 94709-2139
Phone 51084184841130
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21844 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| G21844 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Psychiatric Associates | Psychiatry | Current | Accepting new patients |
| Puentes Al Sur | Past | Accepting new patients | |
| Baart Community Healthcare | Past | Accepting new patients |
Locations
2020 Milvia St
Ste 440
Berkeley, CA 94704
Phone (510) 204-4635
2001 Dwight Way
Berkeley, CA 94704
Phone (510) 204-1880
2001 Dwight Way
Rm 4190
Berkeley, CA 94704
Phone (510) 204-4635
Organizations & group practices 4
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.
-
- Psychiatry Physician
- Berkeley, CA
- NPI 1255497814
-
- Psychiatry Physician
- Berkeley, CA
- NPI 1427163229
-
- Adult Mental Health Clinic/Center
- Watsonville, CA
- NPI 1992849012
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Durham, NC
- NPI 1376075556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194307200000",
"number": "1659437291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1749 MARTIN LUTHER KING JR WAY",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947092139",
"telephone_number": "510-841-8484",
"fax_number": "510-540-1707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1749 MARTIN LUTHER KING JR WAY",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947092139",
"telephone_number": "510-841-8484",
"fax_number": "510-540-1707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLGOFF",
"first_name": "ROBERT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2007-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G21844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.