Organization Active NPI

Goldencare Therapy Licensed Behavior Analyst PLLC

  • Community/Behavioral Health Agency
  • Lakewood, NJ
National Provider Identifier
1932553468
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
000786 Issued in NY
Legal business name
GOLDENCARE THERAPY LICENSED BEHAVIOR ANALYST PLLC
Practice address
5 Raven Lane
Lakewood, NJ 08701
Phone
(732) 886-9055
NPI assigned
Apr 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Authorized official

Name
Estee RothsteinNPI 1710313077
Title
Member
Phone
(732) 886-9055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 11313741 NJ
Community/Behavioral Health Agency 251S00000X 000786 NY Primary

Addresses

Primary practice location

5 Raven Lane
Lakewood, NJ 08701

Mailing address

5 Raven LN
Lakewood, NJ 08701-4968
Phone (732) 886-9055

Other practice location 1

4770 White Plains Rd
Bronx, NY 10470-1136
Phone (646) 647-1540 ext. 101

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1932553468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 RAVEN LN",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014968",
            "telephone_number": "732-886-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 RAVEN LANE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "08701",
            "telephone_number": "732-886-9055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4770 White Plains Rd",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104701136",
            "country_code": "US",
            "telephone_number": "646-647-1540 x101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOLDENCARE THERAPY LICENSED BEHAVIOR ANALYST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "ROTHSTEIN",
        "authorized_official_first_name": "ESTEE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "732-886-9055"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "11313741",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "000786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.