Norman Goldfarb, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

684-057 Issued in WI

Practice address

5225 N Ironwood LN Ste 102
Glendale, WI 53217-4909

Phone

(414) 962-9156

Fax

(414) 962-4356

NPI assigned

Sep 20, 2006

Last updated

Oct 27, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stress Management & Mental Health Clinics

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Allis, WI
  • NPI 1003928391
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1992802938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 N IRONWOOD LN",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532174909",
            "telephone_number": "414-962-9156",
            "fax_number": "414-962-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 N IRONWOOD LN STE 102",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532174909",
            "telephone_number": "414-962-9156",
            "fax_number": "414-962-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDFARB",
        "first_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "684-057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39074800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glendale Wi Opco LLC
• Glendale-River Hills School District
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• Alexis Godden
• Gabriella Nicole Godfrey, M.S.
• Erin K Gonzalez, APNP
• Goodyear Chiropractic Health Center. S.C.
• Anna Grassman, DPT
• Shana Gray
• Tammy D Gray

• Psychologist in Glendale, WI
• Providers in Glendale, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.