Shira Beth Gottlieb, PSY.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

0810005372 Issued in VA

Practice address

405 N Washington St
Suite 104
Falls Church, VA 22046-3410

Phone

(703) 825-0502

NPI assigned

Feb 9, 2016

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1669830329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N WASHINGTON ST",
            "address_2": "SUITE 104",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463410",
            "telephone_number": "703-825-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N WASHINGTON ST",
            "address_2": "SUITE 104",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463410",
            "telephone_number": "703-825-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTTLIEB",
        "first_name": "SHIRA",
        "middle_name": "BETH",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "VA",
            "license": "0810005372",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "DC",
            "license": "PSY1001188",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ziba Elizabeth Gorji, PHARMD
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• Jasmine Morgan Gosnell, PA
• Grace Gossett
• Soumendro Chandra Goswami, MD
• Olivia L Gould, DO
• Ashton Garrett Gouldin, DDS, MS, PC
• Alice Gouvernayre
• Meghan Louise Goyette, PA-C
• Graham Chiropractic Care

• Clinical Child & Adolescent Psychologist in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Clinical Child & Adolescent Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.