Lisa Goldman, PSYD, MS

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2011032874 Issued in MO

Practice address

11500 Olive Blvd Ste 128
Saint Louis, MO 63141-7126

Phone

(314) 605-7612

NPI assigned

Mar 2, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1659694974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MIDPARK LN",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631241557",
            "telephone_number": "314-605-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 OLIVE BLVD STE 128",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631417126",
            "telephone_number": "314-605-7612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "PSYD, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-02",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "0712010118186",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2011032874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonard Ray Goldfarb, M.D.
• Devon N Golding, MD
• Kaci Megan Goldinher, M.A., LPC
• Jennifer Goldkamp, M.D.
• William Joseph Goldkamp, MD
• Sarah L Goldman, LCSW
• Michael G Goldmeier, M.D.
• James Michael Goldring, M.D., PH.D.
• Goldsmith Medical Company
• Justin M. Goldsmith, DPM

• Clinical Psychologist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.