BRUCE A GOLDBERG (NPI# 1568565190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568565190 |
Entity Type | Individual |
Full Name | BRUCE A GOLDBERG |
Credential | MD |
Practice Address |
85 Constitution Lane Ste 200c Liberty Tree Park Danvers MA 01923 |
Mailing Address |
85 Constitution Ln Suite 200c Danvers MA 01923-3694 |
Practice Telephone | 9787503670 |
Practice Fax Number | 9787503606 |
Mailing Telephone | 9787503670 |
Mailing Fax Number | 9787503606 |
Enumeration Date | 2006-09-07 |
Last Update Date | 2008-05-27 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
46504 | MA | Allopathic & Osteopathic Physicians |
Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
46504 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | BLUE CROSS | V02758 | 01 |
MA | TUFTS | 046504 | 01 |
MA | 3015149 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700080181 | Bruce Alan Goldberg | Dentist | 611 Frederick Rd., Suite 101a, Catonsville, MD 21228-4779 | 2007-06-12 |
1336297449 | Bruce Edward Goldberg | Counselor | 33975 Dequindre Rd, Suite 5, Troy, MI 48083-4649 | 2007-01-08 |
1649286832 | Bruce S Goldberg | Pharmacist | 1314 Ridgewood Ave, Omaha, NE 68124-1315 | 2006-07-31 |
1679637169 | Bruce A Goldberg | Chiropractor | 600 University Blvd, Ste 105, Jupiter, FL 33458-2778 | 2006-12-20 |
1699834200 | Bruce J. Goldberg | Allergy & Immunology | 4733 W Sunset Blvd, Los Angeles, CA 90027-6021 | 2006-12-08 |
1417957226 | Bruce J Goldberg | Orthopaedic Surgery | 1555 Barrington Rd, Ste 205, Hoffman Estates, IL 60169-1063 | 2005-07-22 |
Street Address |
85 CONSTITUTION LANE STE 200C LIBERTY TREE PARK |
City | DANVERS |
State | MA |
Zip Code | 01923 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770950321 | Abby Svenson | Counselor | 85 Constitution Lane, Suite 300a, Danvers, MA 01923 | 2015-08-31 |
1477608305 | Linda J Massod Dmdpc | Dentist | 85 Constitution Lane, Suite 2g, Danvers, MA 01923 | 2007-01-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558902320 | Amanda Ashley Harting | Social Worker | 111 Middleton Road, Danvers, MA 01923 | 2019-10-03 |
1407400641 | Tom Biggart | Clinic/Center | 110 Newbury St, Danvers, MA 01923 | 2019-07-25 |
1669958252 | Marie Marguerite Peloquin | Internal Medicine | 480 Maple St. Suite 201, Lahey Outpatient Center, Danvers, Danvers, MA 01923 | 2018-07-17 |
1033604079 | Vanessa Lynne Rachels | Social Worker | 110 Middleton Rd, Danvers, MA 01923 | 2018-06-22 |
1376036517 | Meredith A Biggart | Dietitian, Registered | 110 Newbury St Ste E, Danvers, MA 01923 | 2018-06-12 |
1528569431 | Alaina Alderman | Behavioral Analyst | 1 Southside Rd, Danvers, MA 01923 | 2018-02-26 |
1023536661 | Rachel Anne Ziner | Specialist/Technologist | 49 Reservoir Dr, Danvers, MA 01923 | 2017-09-05 |
1770004780 | Sierra Mclear | Developmental Therapist | 6 Southside R.d, Danvers, MA 01923 | 2017-06-29 |
1316479660 | Beth Israel Lahey Health Primary Care, Inc. | Clinic/Center | 480 Maple St., Lahey Health Urgent Care, Danvers, Danvers, MA 01923 | 2017-03-28 |
1548791890 | Joseph Chenvert | Massage Therapist | 227 Newbury Street, Danvers, MA 01923 | 2017-03-27 |
Find all providers in zip 01923 |
Taxonomy Code | 2084P0805X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Geriatric Psychiatry |
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629384995 | Aaron Koenig | Psychiatry & Neurology | 178 Oakland St, Wellesley, MA 02481-5323 | 2010-08-25 |
1649306077 | Mark I. Frankel | Psychiatry & Neurology | 148 Linden St Ste 109, Wellesley, MA 02482-7916 | 2007-02-27 |
1790850410 | Sorgi Associates, PC | Psychiatry & Neurology | 142 North Rd Ste F105, Sudbury, MA 01776-1142 | 2006-11-21 |
1316958093 | Moak Geriatric Psychiatry | Psychiatry & Neurology | 5206 Union St Bldg 500, Westborough, MA 01581-5418 | 2006-08-10 |
1285670471 | Merrimack Psychiatric Associates, PC | Psychiatry & Neurology | Merrimack Valley Hospital, Abu, 140 Lincoln Ave, Haverhill, MA 01830 | 2006-06-22 |
1346281961 | Bruce Kaster | Psychiatry & Neurology | 60 Kendrick St, Ste 204, Needham, MA 02494-2726 | 2006-06-08 |
1831149244 | John Stuart Looper | Psychiatry & Neurology | 122 Ward St, Chestnut Hill, MA 02467-1029 | 2006-05-10 |
1619939287 | Katharine Poole Wolf | Psychiatry & Neurology | 521 Mt Auburn St, Ste 109, Watertown, MA 02472 | 2006-04-06 |
1437137346 | Robert B Portney | Psychiatry & Neurology | 6 Hearthstone Pl, Andover, MA 01810-5421 | 2006-01-03 |
1457342420 | Samir Pravinchandra Patel | Psychiatry & Neurology | 365 East St, Tewksbury, MA 01876-1950 | 2005-10-31 |
Find all providers with the same taxonomy |
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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.