Active NPI
David Goldstrom, LMFT
- Marriage & Family Therapist
- Brookhaven, GA
National Provider Identifier
1689894404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 000675
- Practice address
- 1346 Sheffield Drive NE
Brookhaven, GA 30329-3451 - Phone
- (404) 870-8075
- Fax
- (404) 692-7280
- NPI assigned
- Apr 26, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 000675 | NY | Primary |
| Pastoral Counselor | 101YP1600X | 0000 | NY |
Addresses
Primary practice location
1346 Sheffield Drive NE
Brookhaven, GA 30329-3451
Mailing address
1346 Sheffield Dr NE
Brookhaven, GA 30329-3451
Phone (404) 870-8075
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 |
|---|---|---|---|
| 000675 | NY | MD | Marriage & Family Therapist |
| 0000 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675123200000",
"number": "1689894404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1346 SHEFFIELD DR NE",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303293451",
"telephone_number": "404-870-8075",
"fax_number": "404-692-7280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1346 SHEFFIELD DRIVE NE",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303293451",
"telephone_number": "404-870-8075",
"fax_number": "404-692-7280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDSTROM",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-26",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "000675",
"primary": true
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": "NY",
"license": "0000",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookhaven, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.