DR. BRIAN GOLDBERG (NPI# 1689918146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689918146 |
| Entity Type | Individual |
| Full Name | DR. BRIAN GOLDBERG |
| Credential | PSY.D., BCBA-D |
| Practice Address |
283 Commack Rd Suite 205 Commack NY 11725-6021 |
| Practice Telephone | 5168488551 |
| Mailing Telephone | 5168488551 |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2012-11-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
017826 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376100719 | Brian O'brien Goldberg | Student in an Organized Health Care Education/Training Program | 733 N 150th St, Shoreline, WA 98133-6104 | 2019-05-21 |
| 1891875936 | Brian Scott Goldberg | Chiropractor | 49 Berry Hill Rd, Syosset, NY 11791-2624 | 2006-10-16 |
| 1033237524 | Brian Keith Goldberg | Physical Medicine & Rehabilitation | 2775 Schoenersville Rd, Bethlehem, PA 18017-7307 | 2007-03-26 |
| Street Address |
283 COMMACK RD SUITE 205 |
| City | COMMACK |
| State | NY |
| Zip Code | 11725-6021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821095993 | Irene C Yarusso | Nurse Practitioner | 283 Commack Rd, Commack, NY 11725-6021 | 2005-07-05 |
| 1861033763 | Christine Marren | Nurse Practitioner | 283 Commack Rd, Commack, NY 11725-6021 | 2019-10-01 |
| 1568903193 | Long Island Cognitive Behavioral Psychology | Psychologist | 283 Commack Rd, Suite Ll1, Commack, NY 11725-6021 | 2017-03-15 |
| 1336501097 | Irene Milonas | Psychologist | 283 Commack Rd, Suite Ll1, Commack, NY 11725-6021 | 2016-03-22 |
| 1700279239 | Commack Dental Design Pllc | Dentist | 283 Commack Rd, Suite 120, Commack, NY 11725-6021 | 2015-03-09 |
| 1578991550 | Lauren Miceli | Social Worker | 283 Commack Rd, Lower Level 1, Commack, NY 11725-6021 | 2013-10-29 |
| 1144667528 | Melissa Macko | Social Worker | 283 Commack Rd, Suite 100, Commack, NY 11725-6021 | 2013-05-26 |
| 1386980043 | Cristina Monaco | Physician Assistant | 283 Commack Rd, Suite 115, Commack, NY 11725-6021 | 2012-12-27 |
| 1265787139 | Robert Goldman | Psychologist | 283 Commack Rd, Commack, NY 11725-6021 | 2012-07-17 |
| 1669739538 | Andrew L Berger, Ph.d., PC | Psychologist | 283 Commack Rd, Suite Ll2, Commack, NY 11725-6021 | 2012-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699322131 | Amanda Grace Acebedo | Student in an Organized Health Care Education/Training Program | 785 Larkfield Rd, Commack, NY 11725 | 2019-08-20 |
| 1922667716 | Diana Mcnamara | Social Worker | 13 Audrey Lane, Commack, NY 11725 | 2019-06-06 |
| 1821504333 | Amy Koenig | Specialist | 787 Larkfield Rd, Commack, NY 11725 | 2017-12-19 |
| 1437661501 | Commack Chemist Inc | Pharmacy | 6216 Jericho Turnpike, Commack, NY 11725 | 2017-10-30 |
| 1285168880 | Stephanie Arico | Counselor | 14 Silver Pond Cir, Commack, NY 11725 | 2017-04-20 |
| 1235684432 | Ams Primary Medical Care House Calls,pc | Home Health | 6277 Jericho Tpk, Commack, NY 11725 | 2016-08-18 |
| 1376927459 | Min Sun Park | Dentist | All About Smiles Pediatric Dentistry, 5036 Jericho Turnpike Suite #307, Commack, NY 11725 | 2015-07-17 |
| 1467843748 | Joanna Keegan | Pharmacy Technician | 98 Veterans Memorial Highway, Commack, NY 11725 | 2015-02-09 |
| 1275936841 | Jennie Bernstein | Social Worker | 368 Veterans Hwy Ste 2, Commack, NY 11725 | 2014-09-26 |
| 1417362021 | Diana Matira Yildirim | Pediatrics | 646 Commack Road, Commack, NY 11725 | 2014-06-23 |
| Find all providers in zip 11725 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841834553 | Andrelle Julien | Psychologist | 227 Stewart St, Elmont, NY 11003-2345 | 2019-11-05 |
| 1467004333 | Humanitarian Organization for Multicultural Experiences, Inc. | Psychologist | 831 James Street, Syracuse, NY 13203 | 2019-07-11 |
| 1023675097 | Suhong Chen | Psychologist | 3613 212th St, Bayside, NY 11361-2048 | 2019-05-23 |
| 1871065524 | Richard Gray Sr. | Psychologist | 2033 Seagirt Blvd Apt 3g, Far Rockaway, NY 11691-2933 | 2018-12-19 |
| 1417438045 | Patricia Ann Barker | Psychologist | 4 Meleny Rd, Locust Valley, NY 11560-1220 | 2018-08-22 |
| 1720511413 | Christine Mary Silvestro | Psychologist | 480 Oakwood Dr, Southold, NY 11971-3211 | 2017-04-10 |
| 1336680313 | Shirley Joseph-ross | Psychologist | 109-46 172nd Street, Jamaica, NY 11433 | 2017-03-10 |
| 1568902336 | Hilda Ann Varghese | Psychologist | 26607 Union Tpke, New Hyde Park, NY 11040-1426 | 2017-02-27 |
| 1225482227 | Lolita Angelique Sherman-coyle | Psychologist | 165 Saint Marks Pl Apt 8m, 8m, Staten Island, NY 10301-1650 | 2016-04-16 |
| 1710362231 | Rhonisha Jeremiah-king | Psychologist | 237 E 92nd St Apt 1f, Brooklyn, NY 11212-1434 | 2015-07-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. BRIAN GOLDBERG.
| 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.