Clark R. Goldstein in Lake Success - Psychologist
Clark R. Goldstein - NPI 1215121710
Clark R. Goldstein is a Psychologist in Lake Success, New York. Clark R. Goldstein practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Clark R. Goldstein is 1215121710. The last update date is 2016-04-07.
Clark R. Goldstein's current location address is 1981 Marcus Avenue, Lake Success, New York. You can contact this provider via phone number 5163581808 and fax number 6467549854. The mailing address for Clark R. Goldstein is 1981 Marcus Avenue, Lake Success, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clark R. Goldstein |
|---|---|
| Address | 1981 Marcus Avenue, Lake Success, New York |
| Phone Number | 5163581808 |
| Fax Number | 6467549854 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1215121710 |
|---|---|
| Provider Enumeration Date | 2007-08-29 |
| Last Updated Date | 2016-04-07 |
Provider Mailing Address Detail
| Address | 1981 Marcus Avenue |
|---|---|
| City | Lake Success |
| State | New York (NY) |
| Post Code | 11042 |
| Phone Number | 5163581808 |
| Fax Number | 6467549854 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 19503 |
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Definition: 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 proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| M18708 | MA | BLUE CROSS | |
| 1312677 | MA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Clark R. Goldstein?
The Clark R. Goldstein has been issued the NPI (National Provider Identifier) 1215121710 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Clark R. Goldstein located?
The Clark R. Goldstein is located at 1981 Marcus Avenue, Lake Success, NY 11042.
What is Clark R. Goldstein's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Clark R. Goldstein is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.
On what date did Clark R. Goldstein receive its 1215121710 assignment from the Centers for Medicare & Medicaid Services?
The Clark R. Goldstein was assigned its 1215121710 on 2007-08-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Clark R. Goldstein, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Clark R. Goldstein, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2016-04-07.