Active NPI
Elizabeth Harten Goldberg, PHD
- Clinical Psychologist
- Summit, NJ
National Provider Identifier
1972602795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2587
- Practice address
- 47 Maple St 302
Summit, NJ 07901 - Phone
- (908) 273-3344
- Fax
- (973) 425-1980
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2587 | NJ | Primary |
| Clinical Psychologist | 103TC0700X | 071007023 | IL |
Addresses
Primary practice location
47 Maple St 302
Summit, NJ 07901
Mailing address
47 Maple St 302
Summit, NJ 07901
Phone (908) 273-3344
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071007023 | IL | MD | Clinical Psychologist |
| 2587 | NJ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972602795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 MAPLE ST 302",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "07901",
"telephone_number": "908-273-3344",
"fax_number": "973-425-1980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 MAPLE ST 302",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "07901",
"telephone_number": "908-273-3344",
"fax_number": "973-425-1980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLDBERG",
"first_name": "ELIZABETH",
"middle_name": "HARTEN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "2587",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071007023",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summit, NJ
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.