Active NPI
Jodi Goldberg, ATR-BC, LCAT
- Art Therapist
- Manalapan, NJ
National Provider Identifier
1760070056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 000502-01
- Practice address
- 81 Bridge Plaza Dr
Manalapan, NJ 07726-1700 - Phone
- (201) 565-2442
- NPI assigned
- Jan 4, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Art Therapist | 221700000X | 000502-01 | NY | Primary |
Addresses
Primary practice location
81 Bridge Plaza Dr
Manalapan, NJ 07726-1700
Mailing address
68 Demarest Drive
Manalapan, NJ 07726
Phone (201) 988-6557
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | childrensarttherapynj@gmail.com | Direct |
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 |
|---|---|---|---|
| 000502-01 | NY | MD | Art Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Art Therapy LLC | Art Therapist | Current | Accepting new patients |
Locations
81 Bridge Plaza Dr
Manalapan, NJ 07726
Phone (201) 565-2442
Organizations & group practices 1
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.
-
- Art Therapist
- Manalapan, NJ
- NPI 1194507988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609718400000",
"number": "1760070056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 DEMAREST DRIVE",
"city": "MANALAPAN",
"state": "NJ",
"postal_code": "07726",
"telephone_number": "201-988-6557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 BRIDGE PLAZA DR",
"city": "MANALAPAN",
"state": "NJ",
"postal_code": "077261700",
"telephone_number": "201-565-2442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "JODI",
"credential": "ATR-BC, LCAT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-04",
"last_updated": "2021-01-04",
"certification_date": "2021-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NY",
"license": "000502-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "childrensarttherapynj@gmail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "81 Bridge Plaza Dr",
"city": "Manalapan",
"state": "NJ",
"country_code": "US",
"postal_code": "077261700",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Manalapan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.