Active NPI
Alan Charles Goldberg, ED.D.
- Psychologist
- Wrentham, MA
National Provider Identifier
1801958533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- MA3242
- Practice address
- 844 Franklin St
# 7
Wrentham, MA 02093-1223 - Phone
- (508) 384-0777
- Fax
- (508) 533-4653
- NPI assigned
- Dec 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | MA3242 | MA | Primary |
Addresses
Primary practice location
844 Franklin St
# 7
Wrentham, MA 02093-1223
Mailing address
14 Mary Anne Dr
Franklin, MA 02038-2650
Phone (508) 533-4653
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA3242 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801958533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 MARY ANNE DR",
"city": "FRANKLIN",
"state": "MA",
"postal_code": "020382650",
"telephone_number": "508-533-4653",
"fax_number": "508-533-4653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "844 FRANKLIN ST",
"address_2": "# 7",
"city": "WRENTHAM",
"state": "MA",
"postal_code": "020931223",
"telephone_number": "508-384-0777",
"fax_number": "508-533-4653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "ALAN",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "MA3242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wrentham, MA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.