Dale Todd Golembeski, R.N.,C.S.

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

148300 Issued in MA

Practice address

64 Eldredge St
Newton, MA 02458-2017

Phone

(617) 969-4925

Fax

(617) 244-2507

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

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.

• Riverside Community Care, Inc.

  • Community/Behavioral Health Agency
  • Norwood, MA
  • NPI 1780791467
  Medicare reassignment NPD
• Riverside Community Care

  • Community/Behavioral Health Agency
  • Dedham, MA
  • NPI 1386195030
  NPD (past)
• Riverside Community Care

  • Community/Behavioral Health Agency
  • Newton, MA
  • NPI 1730473992
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992877161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 CAPEN ST",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021861729",
            "telephone_number": "617-698-3644",
            "fax_number": "617-244-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 ELDREDGE ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024582017",
            "telephone_number": "617-969-4925",
            "fax_number": "617-244-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLEMBESKI",
        "first_name": "DALE",
        "middle_name": "TODD",
        "name_prefix": "Mr.",
        "credential": "R.N.,C.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MA",
            "license": "148300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark R Goldman, M.D.
• Peter Goldring
• Lynn Goldsmith
• Ashley Goldstein, M.S. SLP
• Renee Beth Goldstein
• Richard F Gomberg, M.D.
• Gabriela Gomes Vieira
• Eduardo Gomez
• Kaitlin Gomez
• Lauren Elizabeth Gonet, MSW

• Psychiatric/Mental Health Registered Nurse in Newton, MA
• Providers in Newton, MA by specialty
• Psychiatric/Mental Health Registered Nurse in Massachusetts

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.