Active NPI
Emily Goldman
- Community/Behavioral Health Agency
- Maricopa, AZ
National Provider Identifier
1689328213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 10239656
- Practice address
- 18459 N Stonegate Rd
Maricopa, AZ 85138-3719 - Phone
- (203) 617-7970
- NPI assigned
- Feb 11, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 10239656 | AZ | Primary |
Addresses
Primary practice location
18459 N Stonegate Rd
Maricopa, AZ 85138-3719
Mailing address
18459 N Stonegate Rd
Maricopa, AZ 85138-3719
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10239656 | AZ | MD | Community/Behavioral Health Agency |
Interoperability endpoints
- emily.goldman.p1@direct.anewleaf.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644537600000",
"number": "1689328213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18459 N STONEGATE RD",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "851383719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18459 N STONEGATE RD",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "851383719",
"telephone_number": "203-617-7970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDMAN",
"first_name": "EMILY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-11",
"last_updated": "2022-02-11",
"certification_date": "2022-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "AZ",
"license": "10239656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maricopa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.