Active NPI
Suzanne M Goldberg, DMH
- Clinical Psychologist
- Washington, DC
National Provider Identifier
1891702643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1007
- Practice address
- 2029 Q St NW
#2
Washington, DC 20009-1058 - Phone
- (202) 588-0248
- NPI assigned
- Aug 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1007 | DC | Primary |
Addresses
Primary practice location
2029 Q St NW
#2
Washington, DC 20009-1058
Mailing address
2029 Q St NW
#2
Washington, DC 20009
Phone (202) 588-0248
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010281229 | Medicaid | VA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090218000069 | DC | Practitioner - Clinical Psychologist | 9931264462 | Practice locations: Washington, DC |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- University of California, San Francisco School of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2029 Q St NW
Apt 2
Washington, DC 20009-1058
Phone (202) 588-0248
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1007 | DC | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220832000000",
"number": "1891702643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2029 Q ST NW",
"address_2": "#2",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20009",
"telephone_number": "202-588-0248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2029 Q ST NW",
"address_2": "#2",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200091058",
"telephone_number": "202-588-0248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "SUZANNE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DMH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-02",
"last_updated": "2008-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "1007",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010281229",
"state": "VA"
}
],
"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 Sep 8, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.