Individual provider Active NPI

Rena Judith Goldin, PSY.D.

  • Clinical Psychologist
  • Monsey, NY
National Provider Identifier
1699955831
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
017156 Issued in NY
Practice address
441 Route 306
Suite 3
Monsey, NY 10952-1233
Phone
(201) 725-7158
NPI assigned
Nov 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 017156 NY Primary

Addresses

Primary practice location

441 Route 306
Suite 3
Monsey, NY 10952-1233

Mailing address

1074 Dartmouth St
Teaneck, NJ 07666-1906
Phone (201) 725-7158

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1699955831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1074 DARTMOUTH ST",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661906",
            "telephone_number": "201-725-7158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 ROUTE 306",
            "address_2": "SUITE 3",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109521233",
            "telephone_number": "201-725-7158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDIN",
        "first_name": "RENA",
        "middle_name": "JUDITH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-05",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monsey, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.