Individual provider Active NPI

Sarah Bellovin Goldman, PH.D.

  • Clinical Psychologist
  • Washington, DC
National Provider Identifier
1881093524
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY1001133 Issued in DC
Practice address
1350 Connecticut Ave NW Ste 605
Washington, DC 20036-1735
Phone
(202) 750-1688
NPI assigned
Aug 19, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810005345 VA
Clinical Psychologist 103TC0700X PSY1001133 DC Primary

Addresses

Primary practice location

1350 Connecticut Ave NW Ste 605
Washington, DC 20036-1735

Mailing address

1350 Connecticut Ave NW Ste 605
Washington, DC 20036-1735
Phone (202) 750-1688

Other practice location 1

1 Darnall Hall Georgetown University
37th and O Streets NW
Washington, DC 20057-0001
Phone (202) 750-1688

Other practice location 2

1627 K St NW Ste 500
Washington, DC 20006-1708
Phone (202) 750-1688

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY1001133DCMDClinical Psychologist
0810005345VAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1881093524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 CONNECTICUT AVE NW STE 605",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200361735",
            "telephone_number": "202-750-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 CONNECTICUT AVE NW STE 605",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200361735",
            "telephone_number": "202-750-1688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Darnall Hall Georgetown University",
            "address_2": "37th and O Streets NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200570001",
            "country_code": "US",
            "telephone_number": "202-750-1688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1627 K St NW Ste 500",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200061708",
            "country_code": "US",
            "telephone_number": "202-750-1688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "SARAH",
        "middle_name": "BELLOVIN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-19",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005345",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY1001133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.