Individual provider Active NPI

Eric E Goldberg, DO

  • Psychiatry Physician
  • Destin, FL
National Provider Identifier
1679524946
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS8775 Issued in FL
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

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
3407AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kathleen Cazenavette Current Accepting new patients
The Crane Center LLC Psychiatry Current Accepting new patients
Sand Dollar Psychiatric Services Psychiatry CurrentSince May 27, 2004 Accepting new patients
Banyan Gulf Breeze LLC PastSince Jul 1, 2023 Accepting new patients
West Florida Behavioral Health Inc Past Accepting new patients
Banyan Gulf Breeze LLC PastSince Jul 1, 2023 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.

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

Verify at the official NPI Registry.