Active NPI
Pamela M Goldberg, LMFT
- Marriage & Family Therapist
- Las Vegas, NV
National Provider Identifier
1770715179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT07777
- Practice address
- 6284 S Rainbow Blvd
Suite 110
Las Vegas, NV 89118-3244 - Phone
- (702) 257-0140
- Fax
- (702) 257-0139
- NPI assigned
- Aug 18, 2009
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT07777 | NV | Primary |
Addresses
Primary practice location
6284 S Rainbow Blvd
Suite 110
Las Vegas, NV 89118-3244
Mailing address
6284 S Rainbow Blvd
Suite 110
Las Vegas, NV 89118-3244
Phone (702) 257-0140
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LMFT0777 | Other | NV | NEVADA STATE BOARD OF MARRIAGE AND FAMILY THERAPISTS |
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 |
|---|---|---|---|
| LMFT07777 | NV | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250553600000",
"number": "1770715179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6284 S RAINBOW BLVD",
"address_2": "SUITE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891183244",
"telephone_number": "702-257-0140",
"fax_number": "702-257-0139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6284 S RAINBOW BLVD",
"address_2": "SUITE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891183244",
"telephone_number": "702-257-0140",
"fax_number": "702-257-0139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "PAMELA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-18",
"last_updated": "2009-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "LMFT07777",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEVADA STATE BOARD OF MARRIAGE AND FAMILY THERAPISTS",
"identifier": "LMFT0777",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.