EDWARD GOLDENBERG, MD PSC PC (NPI# 1619081742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619081742 |
| Entity Type | Organization |
| Organization Name | EDWARD GOLDENBERG, MD PSC PC |
| Practice Address |
930 Redgate Ave Norfolk VA 23507-1518 |
| Mailing Address |
930 Redgate Avenue Norfolk VA 23507 |
| Practice Telephone | 7576263733 |
| Practice Fax Number | 7576263331 |
| Mailing Telephone | 7576263733 |
| Mailing Fax Number | 7576263331 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2008-01-09 |
| Authorized Official Name | DR. EDWARD GOLDENBERG (DIRECTOR) |
| Authorized Official Telephone | 7576263733 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
0101046618 | VA | Behavioral Health & Social Service Providers |
| Street Address |
930 REDGATE AVE |
| City | NORFOLK |
| State | VA |
| Zip Code | 23507-1518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003329020 | Marcella Bowen | Nurse Practitioner | 930 Redgate Ave, Norfolk, VA 23507-1518 | 2017-11-13 |
| 1124530837 | Carol Joyce Wesley | Social Worker | 930 Redgate Ave, Norfolk, VA 23507-1518 | 2017-11-03 |
| 1407394497 | Jodi Shani Baker-hutchinson | Social Worker | 930 Redgate Ave, Norfolk, VA 23507-1518 | 2017-02-09 |
| 1487893764 | Kevin D. Maskrey | Social Worker | 930 Redgate Ave, Norfolk, VA 23507-1518 | 2009-02-11 |
| 1386717171 | Lisa Willard | Counselor | 930 Redgate Ave, Norfolk, VA 23507-1518 | 2006-11-17 |
| 1366515157 | Belinda Sanders | Social Worker | 930 Redgate Ave, Norfolk, VA 23507-1518 | 2006-11-17 |
| 1396818191 | Edward Goldenberg | Psychiatry & Neurology | 930 Redgate Ave, Norfolk, VA 23507-1518 | 2006-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790306801 | Paolo Quentin Rigo | Student in an Organized Health Care Education/Training Program | Smith Rogers Hall, 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-04-29 |
| 1811526221 | Sean M Whitty | Student in an Organized Health Care Education/Training Program | Emergency Medicine Residency, Raleigh Building, St 304, 600 Gresham Dr, Norfolk, VA 23507 | 2020-04-07 |
| 1962030643 | Shekinah Joy Vaughn | Student in an Organized Health Care Education/Training Program | 385 Mowbray Arch Ste 203205, Norfolk, VA 23507 | 2020-03-30 |
| 1982231403 | Jaxon Vallely | Student in an Organized Health Care Education/Training Program | 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 | 2020-03-25 |
| 1437714656 | Kanishk Deep Sharma | Student in an Organized Health Care Education/Training Program | 825 Fairfax Avenue Eastern Virginia Medical School Inte, Suite 445, Norfolk, VA 23507 | 2019-05-02 |
| 1619439460 | Dylan Woolum | Student in an Organized Health Care Education/Training Program | Raleigh Building, Suite 304, 600 Gresham Drive, Norfolk, VA 23507 | 2019-04-02 |
| 1477012623 | Jessie R Jones | Student in an Organized Health Care Education/Training Program | 825 Fairfax Ave Ste 513a, Norfolk, VA 23507 | 2019-03-18 |
| 1316416787 | Lindsey Sawyer | Genetic Counselor, MS | Childrens Hospital of The Kings Daughters, 601 Childrens Lane, Norfolk, VA 23507 | 2018-11-15 |
| 1881188159 | Patrick Michael Haar | Pharmacist | 601 Pembroke Avenue, Apt 104, Norfolk, VA 23507 | 2018-06-19 |
| 1316438377 | Monika Pajhal | Student in an Organized Health Care Education/Training Program | Eastern Virginia Medical School (internal Medicine), Internal Medicine, 825 Fairfax Ave, Suite 410, Norfolk, VA 23507 | 2018-05-25 |
| Find all providers in zip 23507 | ||||
| Taxonomy Code | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205261963 | Psychological Services of Virginia | Psychologist | 645 Church St Ste 205, Norfolk, VA 23510-1712 | 2013-09-12 |
| 1700431624 | Schlichter Psychotherapy Associates | Psychologist | 500 E Plume St Ste 205, Norfolk, VA 23510-2325 | 2019-08-07 |
| 1972678464 | The Psychotherapy Center Solutions for Living Ltd | Psychologist | 327 W 21st St, 205, Norfolk, VA 23517-2130 | 2006-11-21 |
| 1851327589 | Finney Zimmerman Psychiatric Associates, Plc | Psychologist | 6320 N Center Dr, Suite 203, Norfolk, VA 23502-4009 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215449848 | Caroline Sahr | Psychologist | 6059 Arlington Blvd Ste B, Falls Church, VA 22044-2721 | 2017-11-06 |
| 1740412071 | Roanenteprises, LLC | Psychologist | 3122 W Clay St, Richmond, VA 23230-4728 | 2009-08-20 |
| 1770786790 | Patricia Umlauf Dawson | Psychologist | 23668 Front Street, Accomac, VA 23301 | 2007-06-07 |
| 1639265598 | Fli,plc | Psychologist | 1307 Jamestown Rd Ste 202, Williamsburg, VA 23185-3392 | 2006-10-05 |
| 1669983128 | Neuroscience, Inc. | Psychologist | 106 Elden St Ste 17, Herndon, VA 20170-4840 | 2017-10-23 |
| 1588733893 | Charis Institute for Psychological and Family Services | Psychologist | 36 Southgate Ct, Suite 102, Harrisonburg, VA 22801-9668 | 2006-11-08 |
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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.