SUSAN J GOLDBERG (NPI# 1770197717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770197717 |
| Entity Type | Individual |
| Full Name | SUSAN J GOLDBERG |
| Credential | MA |
| Practice Address |
442 Randolph St Northville MI 48167-1465 |
| Practice Telephone | 2485145277 |
| Mailing Telephone | 2485145277 |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | P506433 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023663481 | Susan Gayle Goldberg | Psychologist | 1465 Alabama Ave, Pittsburgh, PA 15216-2002 | 2019-08-02 |
| 1184138273 | Susan K Goldberg | Speech-Language Pathologist | 12847 Pembroke Cir, Leawood, KS 66209-1625 | 2017-11-28 |
| 1700227998 | Susan Goldberg | Registered Nurse | 4 Dixon Ct, Sea Cliff, NY 11579-2002 | 2013-07-16 |
| 1912105289 | Susan Sagman Goldberg | Social Worker | 7937 La Mirada Dr, Boca Raton, FL 33433-6107 | 2007-07-06 |
| 1740282649 | Susan C Goldberg | Podiatrist | 21679 State Road 7, Boca Raton, FL 33428-1812 | 2005-08-11 |
| 1093852964 | Susan Dian Goldberg | Urology | 2888 Eureka Way, Suite 201, Redding, CA 96001-0210 | 2007-01-31 |
| 1679645386 | Susan R Goldberg | Occupational Therapist | 280 N Central Ave, Suite 300, Hartsdale, NY 10530-1832 | 2006-11-15 |
| 1497787139 | Susan M Goldberg | Pediatrics | 4321 University Pkwy, Suite 104, Evans, GA 30809-3058 | 2006-07-06 |
| Street Address |
442 RANDOLPH ST |
| City | NORTHVILLE |
| State | MI |
| Zip Code | 48167-1465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093277873 | Kathleen Mary Vollman | Nursing Care | 21091 Boulder Cir, Northville, MI 48167 | 2019-04-02 |
| 1851877211 | Saleh Medical Innovations Consulting Plc | Clinic/Center | 9308 Hickory Ridge Road, Northville, MI 48167 | 2018-07-18 |
| 1811488877 | Carrie Millis Babe | Marriage & Family Therapist | 23095 Kirkland Ct, Northville, MI 48167 | 2018-05-25 |
| 1134671761 | Richard Roff | Technician, Other | 3253 Lancaster Ln, Northville, MI 48167 | 2016-10-31 |
| 1508241613 | Naastar Enterprises, LLC | Non-emergency Medical Transport (VAN) | 20871 W. Glen Haven Circle, Novi, MI 48167 | 2015-07-30 |
| 1396159083 | Traci L Rasor | Registered Nurse | 143 Cadycentre Unit 250, Northville, MI 48167 | 2014-06-20 |
| 1932459930 | Amanda Lea Williams | Nurse Practitioner | 44300 Five Mile Rd, Northville Twp, MI 48167 | 2012-09-17 |
| 1346505914 | Richard Thomas Mac Laren | Emergency Medicine | 51920 8 Mile Road, Northville, MI 48167 | 2012-07-10 |
| 1053647818 | Mark S. Hunter, D.m.d. P.l.c. | Dentist | 149 N. Center, Suite 101, Northville, MI 48167 | 2009-10-28 |
| 1437384088 | Maria Conley | Dietitian, Registered | 40000 West 8 Mile Rd, Northville, MI 48167 | 2009-05-27 |
| Find all providers in zip 48167 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316403744 | Jennifer Lynn Buswinka | Psychologist | 18600 Northville Rd Ste 400b, Northville, MI 48168-3544 | 2019-02-11 |
| 1821469248 | Rebecca Kitchens | Psychologist | 120 W Main St Ste 207, Northville, MI 48167-1584 | 2015-10-12 |
| 1508235235 | Jason Beers | Psychologist | 115 N Center St Ste 202, Northville, MI 48167-1469 | 2015-09-23 |
| 1235536095 | Maria Evans | Psychologist | 42000 6 Mile Rd Ste 202, Northville, MI 48168-4374 | 2014-11-21 |
| 1912136094 | Hugh Donald Bray | Psychologist | 231 N Rogers St, Northville, MI 48167-1434 | 2009-07-09 |
| 1013155514 | Jennifer Lynn Felicelli | Psychologist | 18913 Oak Leaf Ln, Northville, MI 48168-3048 | 2009-01-22 |
| 1023117694 | Mary Dipaolo | Psychologist | 115 North Center Street Suite 202, Hegira Northville Counseling Center, Northville, MI 48167 | 2006-09-21 |
| 1831104678 | Alpha Psychological Services, P.C. | Psychologist | 41820 6 Mile Rd Ste 104, Northville, MI 48168-2771 | 2006-07-30 |
| 1629093612 | Carolyn M Harney | Psychologist | 670 Griswold St, Suite 3, Northville, MI 48167-2675 | 2006-07-12 |
| 1649210931 | David Michael Connell | Psychologist | Inner Wisdom Counseling, 224 S. Main, Northville, MI 48167 | 2006-06-07 |
| Find all providers in NORTHVILLE | ||||
| City | NORTHVILLE |
| Zip Code | 48167 |
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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.