Organization Active NPI

Ruth Goldberg PHD Licensed Psychologist PC

  • Clinical Psychologist
  • Scarsdale, NY
National Provider Identifier
1841493772
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
013750-1 Issued in NY
Legal business name
RUTH GOLDBERG PHD LICENSED PSYCHOLOGIST PC
Practice address
29 Williamsburg Close
Scarsdale, NY 10583-6025
Phone
(914) 423-1104
Fax
(914) 380-6477
NPI assigned
Jun 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Dr. Ruth Arleen Goldberg, PH.D
Title
President
Phone
(914) 423-1104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 013750-1 NY Primary

Addresses

Primary practice location

29 Williamsburg Close
Scarsdale, NY 10583-6025

Mailing address

29 Williamsburg Close
Scarsdale, NY 10583-6025
Phone (914) 423-1104

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1841493772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 WILLIAMSBURG CLOSE",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105836025",
            "telephone_number": "914-423-1104",
            "fax_number": "914-380-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 WILLIAMSBURG CLOSE",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105836025",
            "telephone_number": "914-423-1104",
            "fax_number": "914-380-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTH GOLDBERG PHD LICENSED PSYCHOLOGIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "ARLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-423-1104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "013750-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.

Verify at the official NPI Registry.