KEITH GOLIN PHD LLC (NPI# 1487660213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487660213 |
| Entity Type | Organization |
| Organization Name | KEITH GOLIN PHD LLC |
| Other Organization Name | KEITH GOLIN PHD |
| Practice Address |
75 Main St Ste 103 Millburn NJ 07041-1367 |
| Mailing Address |
43 Concord Dr Livingston NJ 07039-4313 |
| Practice Telephone | 8882842034 |
| Practice Fax Number | 9739924639 |
| Mailing Telephone | 8882842034 |
| Mailing Fax Number | 9739924639 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KEITH GOLIN (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 9739924639 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TC0700X |
Psychologist Specialization: Clinical |
35S100409900 | NJ | Behavioral Health & Social Service Providers |
| X | 103T00000X | Psychologist | 35S100409900 | NJ | Behavioral Health & Social Service Providers |
| X | 103T00000X | Psychologist | 015072-1 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02330954 | 05 | |
| NJ | 0114065 | 05 | |
| NJ | EVERCARE | 6102096 | 01 |
| Other Name | Type Code |
|---|---|
| Keith Golin PhD | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548561053 | Keith Golin Phd LLC | Psychologist | 18 Aspen Dr, Livingston, NJ 07039 | 2010-11-15 |
| Street Address |
75 MAIN ST STE 103 |
| City | MILLBURN |
| State | NJ |
| Zip Code | 07041-1367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285808154 | Alan Arthur Layton | Dentist | 75 Main St, Suite 102, Millburn, NJ 07041-1367 | 2008-04-22 |
| 1578650636 | Cardiovascular Consulting Group | Spec/Tech, Cardiovascular | 75 Main St, Suite 202, Millburn, NJ 07041-1367 | 2006-10-09 |
| 1588751291 | Short Hills Chiropractic LLC | Chiropractor | 75 Main St, Suite 104, Millburn, NJ 07041-1367 | 2006-10-06 |
| 1124042528 | Jeffrey Alan Zissu | Dentist | 75 Main St, Millburn, NJ 07041-1367 | 2006-07-27 |
| 1164446365 | Cheryl J Goren Robins | Dentist | 75 Main St, Suite 107, Millburn, NJ 07041-1367 | 2006-07-27 |
| 1598785370 | Laura C Sottile | Chiropractor | 75 Main St, Suite 104, Millburn, NJ 07041-1367 | 2006-07-21 |
| 1114953403 | Erwin Joseph Bulan | Plastic Surgery | 75 Main St, Suite 105, Millburn, NJ 07041-1367 | 2006-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932696879 | Michael J. Kahn | Psychologist | 114 Millburn Avenue, Suite Number 200, Millburn, NJ 07041 | 2018-04-17 |
| 1780063586 | Beth Israel Medicial Center | General Acute Care Hospital | 927 Ridgewood Road, Millburn, NJ 07041 | 2015-05-26 |
| 1457762577 | Amy Ladetsky | Occupational Therapist | 25 Greenwood Drive, Millburn, NJ 07041 | 2014-05-12 |
| 1033384193 | Doris Marie Breckenridge | Psychiatry & Neurology | 116 Millburn Avenue, Suite 200, Millburn, NJ 07041 | 2008-04-29 |
| 1477722627 | M. Mai-tram D. Ho | Chiropractor | 58 Mountain Ave, Millburn, NJ 07041 | 2008-02-21 |
| 1689880320 | Wendy Caroline Wisz | Dentist | 250 Millburn Ave., Millburn, NJ 07041 | 2007-05-16 |
| 1578775680 | Margaret M Mcintyre | Dentist | 421 Essex St, Millburn, NJ 07041 | 2007-05-03 |
| 1225189210 | Regina Ann Schaefer | Social Worker | 55 Bleeker Street, Millburn, NJ 07041 | 2007-01-16 |
| 1124188800 | Patricia Ann Delgaldo | Social Worker | 368 Essex Street, 2nd Floor, Millburn, NJ 07041 | 2006-12-11 |
| 1366541690 | Mahesh R Desai | Internal Medicine | 120 Millburn Avenue, Suite M2, Millburn, NJ 07041 | 2006-09-22 |
| Find all providers in zip 07041 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649698952 | Yadira Sanchez | Psychologist | 90 Millburn Ave Ste 102, Millburn, NJ 07041-1933 | 2014-04-03 |
| 1942325238 | Nancy Corral Ziebert | Psychologist | 90 Millburn Ave Ste 202a, Millburn, NJ 07041-1933 | 2007-03-19 |
| 1295864528 | David Cancell | Psychologist | 236 Glen Ave, Millburn, NJ 07041-1620 | 2007-03-04 |
| 1477621936 | Randy Alan Bressler | Psychologist | 68 Essex St Ste 1a, Millburn, NJ 07041-1611 | 2006-12-01 |
| 1720523822 | Stacie Shivers | Psychologist | 90 Millburn Ave, Suite 102, Millburn, NJ 07041-1945 | 2016-12-27 |
| 1164872206 | Sarah Hassan | Psychologist | 90 Millburn Ave, Millburn, NJ 07041 | 2016-06-20 |
| 1750761490 | Kristin Lh Mcgue | Psychologist | 90 Millburn Ave Ste 102, Millburn, NJ 07041-1933 | 2015-06-08 |
| 1306226683 | Parin Kamdar | Psychologist | 90 Millburn Ave, Suite 102, Millburn, NJ 07041-1945 | 2015-06-02 |
| 1851778617 | Mandi Danielle Silverman | Psychologist | 90 Millburn Ave Ste 102, Millburn, NJ 07041-1933 | 2015-04-30 |
| 1013305101 | Jason D Rodker | Psychologist | 90 Millburn Ave, Millburn, NJ 07041-1945 | 2014-12-26 |
| Find all providers in MILLBURN | ||||
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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.