Russell Darren Goldstein, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

DR0067319 Issued in CO

Practice address

4575 Byrd Dr
Loveland, CO 80538-7198

Phone

(970) 962-4900

NPI assigned

Jul 2, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Compassionate Weight Solutions

  • Psychiatry Physician
  • Fort Collins, CO
  • NPI 1013789486
  NPD Authorized official
• Veterans Affairs

  • Licensed Practical Nurse
  • Loveland, CO
  • NPI 1942969712
  NPD (past)

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

{
    "created_epoch": "1498953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1902327745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 COPPER CREST LN",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805282400",
            "telephone_number": "303-709-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 BYRD DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805387198",
            "telephone_number": "970-962-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "RUSSELL",
        "middle_name": "DARREN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-02",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "7983",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "DR0067319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Fay Goddard, M A
• Norman R Goding, D.D.S.
• Fawn Gold, M.A., CCC-SLP
• Gregory Alan Golden, D.O.
• Amy Goldstein, M.D.
• Christopher Gollob
• Bryan Golubski, M.D. (05/2017)
• Mindy Gomer
• Christina R Gomez, LMFT, MS
• Ernest Garred Gomez, D.M.D.

• Psychiatry Physician in Loveland, CO
• Providers in Loveland, CO by specialty
• Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.