DR. HARRY DAVID GOLDWASSER (NPI# 1255370680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255370680 |
| Entity Type | Individual |
| Full Name | DR. HARRY DAVID GOLDWASSER |
| Credential | MD |
| Practice Address |
1910 S Camino Real Palm Springs CA 92264-9290 |
| Practice Telephone | 7604167951 |
| Practice Fax Number | 7608648587 |
| Mailing Telephone | 7604167951 |
| Mailing Fax Number | 7608648587 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2016-08-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
28042 | AZ | Allopathic & Osteopathic Physicians |
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
132642 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1910 S CAMINO REAL |
| City | PALM SPRINGS |
| State | CA |
| Zip Code | 92264-9290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518505643 | Teresa Rose Lakin | Marriage & Family Therapist | 1910 S Camino Real, Palm Springs, CA 92264-9290 | 2019-12-19 |
| 1215570239 | Eric Lee Rennacker | Marriage & Family Therapist | 1910 S Camino Real, Palm Springs, CA 92264-9290 | 2019-10-22 |
| 1598308660 | Robert Harold Ischinger | Counselor | 1910 S Camino Real, Palm Springs, CA 92264-9290 | 2019-10-22 |
| 1285992438 | Palm Springs Treatment Center | Substance Abuse Rehabilitation Facility | 1910 S Camino Real, Palm Springs, CA 92264-9290 | 2012-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928679 | Carina Lopez | Technician, Other | 3065 E Ramon Rd, Palm Springs, CA 92264 | 2020-10-07 |
| 1538727466 | Sina Khanbabakhani | Dentist | 555 South Sunrise Way, Palm Springs, CA 92264 | 2019-06-05 |
| 1265971162 | Mark Jordan Agresor | Assisted Living Facility | 4425 Camino Parocela, Palm Springs, CA 92264 | 2017-02-13 |
| 1609329002 | Jeffrey Idica | Naturopath | 1775 E Palm Canyon Dr Ste 310, Palm Springs, CA 92264 | 2016-08-02 |
| 1609240605 | Brandon Hagar | Technician, Other | 3025 E Escoba Dr Apt 236, Palm Springs, CA 92264 | 2015-11-14 |
| 1861618852 | Jin Woo | Acupuncturist | 1001 S Palm Canyon Dr, Suite 105, Palm Springs, CA 92264 | 2007-04-18 |
| 1629114269 | Andrew Petras | Optometrist | 148 Eastlake Dr, Palm Springs, CA 92264 | 2007-01-30 |
| 1952453375 | Gina D Davis | Chiropractor | 4050 Airport Center Drive, Suite G, Palm Springs, CA 92264 | 2007-01-17 |
| 1548328834 | Michael R Gurk Ms Pt Apc | Physical Therapist | 1001 S Palm Canyon Drive, Ste 111, Palm Springs, CA 92264 | 2006-12-05 |
| 1750399747 | Lee Un A Professional Dental Corp | Dentist | 471 E Tahquitz Cyn Way #221, Palm Springs, CA 92264 | 2006-08-04 |
| Find all providers in zip 92264 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215308853 | S U R Doctors Group, LLC | Psychiatry & Neurology | 3175 S Congress Ave, Suite 304, Palm Springs, FL 33461-2500 | 2015-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184111494 | Lags Spine and Sportscare Medical Centers, Inc. | Psychiatry & Neurology | 1223 Higuera St Ste 101, San Luis Obispo, CA 93401-3167 | 2018-04-23 |
| 1053808899 | Klc Consultants, PC | Psychiatry & Neurology | 1808 Verdugo Blvd Ste 319, Glendale, CA 91208-1486 | 2018-04-17 |
| 1780196733 | Acceptance Detox LLC | Psychiatry & Neurology | 18779 Palm St, Fountain Valley, CA 92708-6428 | 2017-10-31 |
| 1952824021 | Novation Behavioral Health, LLC | Psychiatry & Neurology | 1707 E Bay Ave, Newport Beach, CA 92661-1453 | 2017-07-20 |
| 1912362567 | Sanjoy Sathpathy, M.d. Inc | Psychiatry & Neurology | 9888 Carroll Center Road, 218, San Diego, CA 92126-4515 | 2015-12-28 |
| 1043562630 | San Diego Professional Group, P. C. | Psychiatry & Neurology | 41655 Date St, Suite 101a, Murrieta, CA 92562-7040 | 2012-10-08 |
| 1841591690 | David E. Brody | Psychiatry & Neurology | 13200 South Bloomfield Ave, Norwalk, CA 90650 | 2010-11-10 |
| 1124342647 | Vicki Kalira | Psychiatry & Neurology | 150 Muir Rd Bldg 24, Martinez, CA 94553-4668 | 2010-03-26 |
| 1710127964 | Pacific Composure Psychiatry & Hypnotherapy | Psychiatry & Neurology | 180 7th Ave Ste 103, Santa Cruz, CA 95062-4732 | 2009-02-28 |
| 1235341330 | Timmen Cermak | Psychiatry & Neurology | 239 Miller Avenue, Suite #1, Mill Valley, CA 94941 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
| City | PALM SPRINGS |
| Zip Code | 92264 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.