JAN ROGER GOLDIN (NPI# 1851441141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851441141 |
| Entity Type | Individual |
| Full Name | JAN ROGER GOLDIN |
| Other Name | J ROGER GOLDIN |
| Credential | EDD |
| Practice Address |
24 Wendell Ave Brien Center Forensic Service Pittsfield MA 01201-6306 |
| Mailing Address |
393 Crane Ave Pittsfield MA 01201-1701 |
| Practice Telephone | 4134991897 |
| Practice Fax Number | 4134436058 |
| Mailing Telephone | 4134420311 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TC0700X |
Psychologist Specialization: Clinical |
2765 | MA | Behavioral Health & Social Service Providers |
| X | 103TF0200X |
Psychologist Specialization: Forensic |
2765 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | HEALTH NEW ENGLAND | 31654 | 01 |
| Street Address |
24 WENDELL AVE BRIEN CENTER FORENSIC SERVICE |
| City | PITTSFIELD |
| State | MA |
| Zip Code | 01201-6306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851533624 | Michael Brezsnyak | Psychologist | 24 Wendell Ave, Pittsfield, MA 01201-6306 | 2009-03-25 |
| 1871626119 | Julia Reeb | Psychologist | 24 Wendell Ave, Pittsfield, MA 01201-6306 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292326 | Dominic Boudini | Social Worker | Berkshire Medical Center Jones IIi, 777 North Street, Pittsfield, MA 01201 | 2018-10-25 |
| 1770066433 | Michelle P Racicot | Physical Therapy Assistant | 144 Brighton Ave, Pittsfield, MA 01201 | 2018-09-10 |
| 1659853927 | Janis W. Zimbler | Social Worker | 49 Kenilworth Street, Pittsfield, MA 01201 | 2018-09-04 |
| 1528545225 | Claudia L Coplan | Social Worker | 262 Appleton Avenue, Pittsfield, MA 01201 | 2018-07-25 |
| 1255852083 | Vandana Sethi | Dentist | Chp Neighborhood Dental Center, 510 North Street, Suite 1, Pittsfield, MA 01201 | 2017-07-01 |
| 1770011819 | Vladimir Nazarov | Dentist | 690 Merrill Road, Pittsfield, MA 01201 | 2017-06-02 |
| 1215462254 | Anqi Hu | Dentist | 788 South Street, Pittsfield, Ma 01201, Pittsfield, MA 01201 | 2017-04-27 |
| 1942759162 | Community Health Programs, Inc | Clinic/Center | 510 North St., Pittsfield, MA 01201 | 2016-09-29 |
| 1366990590 | Daniel Pinsky I | Counselor | 877 South Street, Clinical Support Options Suite 200, Pittsfiled, MA 01201 | 2016-09-16 |
| 1275086746 | Berkshire Medical Center, Inc | Substance Abuse Rehabilitation Facility | 48 Kent Ave, Pittsfield, MA 01201 | 2016-08-01 |
| Find all providers in zip 01201 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225635303 | Christopher Aaron Randolph | Psychologist | 3827 Route 100, Pittsfield, VT 05762 | 2020-10-02 |
| 1770744534 | Margaret Stephenson | Psychologist | 42 Wendell Ave, Suite 4, Pittsfield, MA 01201-6306 | 2008-06-24 |
| 1053357772 | Scott Murray | Psychologist | 8 Thomas Rd, Pittsfield, MA 01201-3031 | 2006-06-21 |
| 1326387960 | Cohear Projects | Psychologist | 150 North St, Suite 39d, Pittsfield, MA 01201-5173 | 2013-02-01 |
| 1871626119 | Julia Reeb | Psychologist | 24 Wendell Ave, Pittsfield, MA 01201-6306 | 2007-03-14 |
| 1023161114 | Jacqueline A Stores | Psychologist | 120 South St, Pittsfield, MA 01201-6110 | 2007-01-19 |
| 1467516351 | James L Sharp | Psychologist | 54 Wendell Ave, Pittsfield, MA 01201-6312 | 2006-12-22 |
| 1740348002 | Craig Gibbons Clemow | Psychologist | 34 Depot St, Suite 201, Pittsfield, MA 01201-5130 | 2006-12-05 |
| 1326115007 | Sarah Bishop Kinder | Psychologist | 333 East St, Brien Center, Pittsfield, MA 01201-5312 | 2006-11-29 |
| 1396850509 | Holly Higinbotham | Psychologist | 741 North St, Brien Family Center, Pittsfield, MA 01201-4109 | 2006-08-20 |
| Find all providers in PITTSFIELD | ||||
| City | PITTSFIELD |
| Zip Code | 01201 |
Please comment or provide details below to improve the information on JAN ROGER GOLDIN.
| 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.