Active NPI
Gregory Evan Golden, PSY.D.
- Psychologist
- Columbia, SC
National Provider Identifier
1861519530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY6265
- Practice address
- 6439 Garners Ferry Rd
Columbia, SC 29209-1638 - Phone
- (803) 776-4000
- Fax
- (803) 695-6860
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY6265 | FL | Primary |
Addresses
Primary practice location
6439 Garners Ferry Rd
Columbia, SC 29209-1638
Mailing address
994 Jeffery St
Boca Raton, FL 33487-4181
Phone (561) 445-6126
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188432000000",
"number": "1861519530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "994 JEFFERY ST",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334874181",
"telephone_number": "561-445-6126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6439 GARNERS FERRY RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292091638",
"telephone_number": "803-776-4000",
"fax_number": "803-695-6860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDEN",
"first_name": "GREGORY",
"middle_name": "EVAN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2007-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY6265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
- Golden Glow Skin and Body
- Golden Shields Therapeutic & Community Services LLC
- Golden Shields Therapeutics & Community Services
- Golden Times Home Away From Home
- Keelin Jamaal Golden-Maldonado, FNP
- Melanie Golden, LMSW
- Mary Goldin, PMHNP-BC
- Cynthia Evatt Goldman, R.N.
- Daniel Louis Goldman, LMSW
- Megan Goldsberry, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.