Active NPI
Michael Golinkoff, PHD, Mba LLC
- Community/Behavioral Health Agency
- Ardmore, PA
National Provider Identifier
1699596767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- MICHAEL GOLINKOFF, PHD, MBA LLC
- Practice address
- 100 Saint Georges Rd Unit G1
Ardmore, PA 19003-2531 - Phone
- (215) 341-6720
- NPI assigned
- Oct 22, 2024
- Last updated
- Oct 22, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Golinkoff, PHD
- Title
- Owner
- Phone
- (215) 341-6720
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
100 Saint Georges Rd Unit G1
Ardmore, PA 19003-2531
Mailing address
100 Saint Georges Rd Unit G1
Ardmore, PA 19003-2531
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Ardmore, PA
- NPI 1518684018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729555200000",
"number": "1699596767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SAINT GEORGES RD UNIT G1",
"city": "ARDMORE",
"state": "PA",
"postal_code": "190032531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SAINT GEORGES RD UNIT G1",
"city": "ARDMORE",
"state": "PA",
"postal_code": "190032531",
"telephone_number": "215-341-6720"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL GOLINKOFF, PHD, MBA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-22",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A",
"authorized_official_last_name": "GOLINKOFF",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "215-341-6720",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ardmore, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.