Julia Eilenberg, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

182560 Issued in NY

Practice address

22 Garden St
Suite #4
Rhinebeck, NY 12572-1300

Phone

(845) 876-7822

Fax

(845) 876-8850

NPI assigned

Feb 15, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Julia Eilenberg Goldman Other name

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: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 3, 2016 through May 3, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902949241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 GARDEN ST",
            "address_2": "SUITE #4",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721300",
            "telephone_number": "845-876-7822",
            "fax_number": "845-876-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 GARDEN ST",
            "address_2": "SUITE #4",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125721300",
            "telephone_number": "845-876-7822",
            "fax_number": "845-876-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EILENBERG",
        "first_name": "JULIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "182560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "EILENBERG GOLDMAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Psychiatry Physician in Rhinebeck, NY
• Providers in Rhinebeck, NY by specialty
• Psychiatry Physician in New York

• 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.