Active NPI
Eric E Goldberg, DO
- Psychiatry Physician
- Destin, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- OS8775
- Practice address
- 137 Crystal Beach Dr Ste 137-C
Destin, FL 32541 - Phone
- (850) 226-7100
- NPI assigned
- May 12, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | OS8775 | FL | Primary |
Addresses
Primary practice location
137 Crystal Beach Dr Ste 137-C
Destin, FL 32541
Mailing address
PO Box 1648
Destin, FL 32540-1648
Phone (850) 226-7100
Other practice location 1
4400 Hickory Shores Blvd
Gulf Breeze, FL 32563-9111
Phone (954) 533-7705
Other practice location 2
1830 Hickory Shores Rd
Gulf Breeze, FL 32563-9143
Phone (754) 206-8522
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 24, 2015 through Nov 24, 2027
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1997
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
124 E Miracle Strip Pkwy
Suite 204
Mary Esther, FL 32569-1988
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3407 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kathleen Cazenavette | Current | Accepting new patients | |
| The Crane Center LLC | Psychiatry | Current | Accepting new patients |
| Sand Dollar Psychiatric Services | Psychiatry | Current | Accepting new patients |
| Banyan Gulf Breeze LLC | Past | Accepting new patients | |
| West Florida Behavioral Health Inc | Past | Accepting new patients | |
| Banyan Gulf Breeze LLC | Past | Accepting new patients |
Locations
4507 Furling Ln
Ste 212
Destin, FL 32541
Phone (850) 226-7100
137 Crystal Beach Dr
Ste 137C
Destin, FL 32541
Phone (850) 226-7100
Organizations & group practices 6
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.
-
- Community/Behavioral Health Agency
- Destin, FL
- NPI 1750824090
-
- Substance Abuse Rehabilitation Facility
- Gulf Breeze, FL
- NPI 1033899372
-
- Substance Abuse Rehabilitation Facility
- Gulf Breeze, FL
- NPI 1386321180
-
- Geriatric Psychiatry Physician
- Pensacola, FL
- NPI 1457336604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1679524946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1648",
"city": "DESTIN",
"state": "FL",
"postal_code": "325401648",
"telephone_number": "850-226-7100",
"fax_number": "850-226-7157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 CRYSTAL BEACH DR STE 137-C",
"city": "DESTIN",
"state": "FL",
"postal_code": "32541",
"telephone_number": "850-226-7100"
}
],
"practiceLocations": [
{
"address_1": "4400 Hickory Shores Blvd",
"address_purpose": "LOCATION",
"city": "Gulf Breeze",
"state": "FL",
"postal_code": "325639111",
"country_code": "US",
"telephone_number": "954-533-7705",
"fax_number": "754-206-8522",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1830 Hickory Shores Rd",
"address_purpose": "LOCATION",
"city": "Gulf Breeze",
"state": "FL",
"postal_code": "325639143",
"country_code": "US",
"telephone_number": "754-206-8522",
"fax_number": "850-677-0312",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLDBERG",
"first_name": "ERIC",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2025-02-10",
"certification_date": "2025-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "OS8775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Destin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.
- 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.