Stephen Alan Goldberg, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS003906-L Issued in PA

Practice address

8018 Bustleton Ave.
2ND FLR.
Phila., PA 19152-2802

Phone

(215) 742-6773

Fax

(215) 742-5829

NPI assigned

Mar 30, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Marsha J Friedman PHD LLC

  • Cognitive & Behavioral Psychologist
  • Jenkintown, PA
  • NPI 1053998195
  NPD (past)
• Melissa Appel LCSW PLLC

  • Community/Behavioral Health Agency
  • Jenkintown, PA
  • NPI 1417640988
  NPD (past)

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720108962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 WARING RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272125",
            "telephone_number": "215-635-3448",
            "fax_number": "215-635-3448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8018 BUSTLETON AVE.",
            "address_2": "2ND FLR.",
            "city": "PHILA.",
            "state": "PA",
            "postal_code": "191522802",
            "telephone_number": "215-742-6773",
            "fax_number": "215-742-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "STEPHEN",
        "middle_name": "ALAN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS003906-L",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "SI02393",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glasses Half Full
• Jeffrey David Glen, DDS
• Leonia Glover
• Nirpal K Gogolu, PHARM-D
• Jay Michael Goldberg, DDS
• Howard Goldhammer, DPM
• Marcia Goldstein, CRNP
• Steven Goloff, RPH
• Amber Lynne Goncharsky-Hibbs, BCBA, LBS
• Kayla Michelle Gonzales, DOULA

• Clinical Psychologist in Phila., PA
• Providers in Phila., PA by specialty
• Clinical Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.