Lee Goldman, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810002146 Issued in VA

Practice address

1495 Chain Bridge Rd
Suite 202
McLean, VA 22101-5727

Phone

(703) 624-0223

Fax

(571) 633-9798

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

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

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.

• Adina Shapiro, LCSW

  • Clinical Social Worker
  • MC Lean, VA
  • NPI 1194999581
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285545600000",
    "number": "1841224938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 WHITLEY DR",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221821456",
            "telephone_number": "703-624-0223",
            "fax_number": "571-633-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 CHAIN BRIDGE RD",
            "address_2": "SUITE 202",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221015727",
            "telephone_number": "703-624-0223",
            "fax_number": "571-633-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810002146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7706472",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne G Glynn, PTA
• Michael Timothy Gocke, DDS
• Janis W. Gold, LPC, LMFT
• Fred Elias Goldberg, O.D.
• Nataliegoldberg A. Goldberg, LCSW
• Oscar Glenn Goodhand III, DDS, MAGD
• Barry Charles Gorman, M.D.
• Granato Group, Inc.
• Jolanta Griffiths, DMD
• John Joseph Gualtieri, PH. D.

• Clinical Psychologist in McLean, VA
• Providers in McLean, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.