Active NPI
Ruth Ellen Goldberg, PHD
- Psychologist
- Columbus, OH
National Provider Identifier
1679555247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4229
- Practice address
- 3773 Olentangy River Rd
Columbus, OH 43214-3425 - Phone
- (614) 566-5356
- Fax
- (614) 566-3835
- NPI assigned
- Nov 18, 2005
- Last updated
- Jan 5, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4229 | OH | Primary |
Addresses
Primary practice location
3773 Olentangy River Rd
Columbus, OH 43214-3425
Mailing address
1299 Olentangy River Rd
Ste 103
Columbus, OH 43212-3118
Phone (614) 566-4278
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0832415 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rgoldberg34038@direct.ohiohealth.com | OhioHealth Physician Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4229 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Trauma Services LTD | Past | Accepting new patients | |
| Bethel Olentangy Psychological Services | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Columbus, OH
- NPI 1477003143
-
dba Orthopaedic Trauma Reconstructive Surgery
- Orthopaedic Surgery Physician
- Columbus, OH
- NPI 1285622688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1679555247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1299 OLENTANGY RIVER RD",
"address_2": "STE 103",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432123118",
"telephone_number": "614-566-4278",
"fax_number": "614-566-5424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3773 OLENTANGY RIVER RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432143425",
"telephone_number": "614-566-5356",
"fax_number": "614-566-3835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "RUTH",
"middle_name": "ELLEN",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "4229",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0832415",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rgoldberg34038@direct.ohiohealth.com",
"affiliation": "Y",
"affiliationName": "OhioHealth Physician Group",
"address_1": "3773 Olentangy River Rd",
"address_2": "1st Fl",
"city": "Columbus",
"state": "OH",
"country_code": "US",
"postal_code": "432143425",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.