Amy Goldberg, MA, LAC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

37AC00555200 Issued in NJ

Practice address

33 Clinton Rd Ste 102
West Caldwell, NJ 07006-6790

Phone

(973) 563-6778

NPI assigned

Nov 5, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Calm and Sense - Watchung

  • Mental Health Counselor
  • Watchung, NJ
  • NPI 1730508938
  NPD (past)

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708732800000",
    "number": "1730844515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 MAYHEW DR",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070791210",
            "telephone_number": "973-563-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 CLINTON RD STE 102",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070066790",
            "telephone_number": "973-563-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "MA, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-05",
        "last_updated": "2024-02-24",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37AC00555200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louis James Giasullo, CHIROPRACTOR
• Susan - Gimbar, RN, APN,C
• Jonathan Aviv Golani, MD
• Frederick Goldbach
• Kelly Goldbach
• Patrice Michelle Goldberg, LCSW
• Laura Goldfinch, DPT
• Iris Gilen Maravilla Gomez, NP-C
• Salvador Gonzalez Ruiz, DC
• Lupe Amy Gonzalez, R.P.T. L.AC. R.N.

• Counselor in West Caldwell, NJ
• Providers in West Caldwell, NJ by specialty
• Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.

Verify at the official NPI Registry.