Anika Goldman, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

8517 Issued in MA

Practice address

66 Main St
North Easton, MA 02356-1443

Phone

(508) 238-7766

Fax

(508) 230-5089

NPI assigned

Jul 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 15, 2017 through Mar 15, 2027

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brookline Adult and Child Counseling Inc

  • Clinical Child & Adolescent Psychologist
  • Brookline, MA
  • NPI 1871272286
  NPD Authorized official
• Psychological Associates of Southeastern Massachusetts, LLC

  • Clinical Psychologist
  • North Easton, MA
  • NPI 1326052317
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871518258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 MAIN ST",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561443",
            "telephone_number": "508-238-7766",
            "fax_number": "508-230-5089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 MAIN ST",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561443",
            "telephone_number": "508-238-7766",
            "fax_number": "508-230-5089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "ANIKA",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "8517",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016022",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "494673",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Gianatasio, PA-C
• Kenneth Paul Gilbert, M.D.
• Geoffrey W Gilson, M.D.
• Kathleen B Gilson, M.D.
• Jennifer S Goldblatt, NP
• Marjorie Goldstein-Fradin
• Nicole Marie Goulart
• Greater Boston Urology, LLC
• Greenwheel Transportation LLC
• Melissa Gregory, PMHNP-BC

• Clinical Psychologist in North Easton, MA
• Providers in North Easton, MA by specialty
• Clinical Psychologist in Massachusetts

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.