Active NPI
Kevin J Goldberg, PSY.D.
- Psychologist
- Austin, TX
National Provider Identifier
1962925651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 37938
- Practice address
- 211 E 7TH St Ste 620
Austin, TX 78701 - Phone
- (800) 370-3651
- Fax
- (877) 515-7147
- NPI assigned
- Jul 25, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 37938 | TX | Primary |
Addresses
Primary practice location
211 E 7TH St Ste 620
Austin, TX 78701
Mailing address
1 E Superior St Ste 506
Chicago, IL 60611-2593
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goldberg Psychological Services, PLLC | Psychologist | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- Dallas, TX
- NPI 1588130413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704153600000",
"number": "1962925651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 E SUPERIOR ST STE 506",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 E 7TH ST STE 620",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78701",
"telephone_number": "800-370-3651",
"fax_number": "877-515-7147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "KEVIN",
"middle_name": "J",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-25",
"last_updated": "2024-01-02",
"certification_date": "2024-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "37938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.