JASON GOLDBERG (NPI# 1194161646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194161646 |
| Entity Type | Individual |
| Full Name | JASON GOLDBERG |
| Practice Address |
153 Hazard Ave Enfield CT 06082-4592 |
| Practice Telephone | 8602535020 |
| Practice Fax Number | 8602535030 |
| Mailing Telephone | 8602535020 |
| Mailing Fax Number | 8602535030 |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2013-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447600119 | Jason Michael Goldberg | Dentist | 8815 Christenbury Pkwy Ste 40, Concord, NC 28027-0261 | 2016-06-14 |
| 1104138403 | Jason Lee Goldberg | Internal Medicine | 120 Radnor Rd Ste 100, State College, PA 16801 | 2010-07-02 |
| 1336747021 | Jason Goldberg | Peer Specialist | 7916 Se Foster Rd Ste 201, Portland, OR 97206-4289 | 2020-10-14 |
| 1093161655 | Jason Goldberg | Ophthalmology | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2016-05-12 |
| 1255692067 | Jason Asher Goldberg | Pediatrics | 333 N Texas Ave, Suite 4300, Webster, TX 77598-4966 | 2012-06-07 |
| 1518261171 | Jason Frederick Goldberg | Pediatrics | 51 N Dunlap St Fl 2, Memphis, TN 38105 | 2010-12-22 |
| 1427212851 | Jason Matthew Goldberg | Social Worker | 4401 East West Highway, Suite 207, Bethesda, MD 20814 | 2008-07-15 |
| 1073731790 | Jason Goldberg | Dentist | 1030 Saint Georges Ave, Avenel, NJ 07001-1390 | 2007-04-20 |
| Street Address |
153 HAZARD AVE |
| City | ENFIELD |
| State | CT |
| Zip Code | 06082-4592 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326047960 | Kathy Smith | Social Worker | 153 Hazard Ave, Enfield, CT 06082-4592 | 2005-07-15 |
| 1881295236 | Travis Cooley | Counselor | 153 Hazard Ave, Enfield, CT 06082-4592 | 2020-11-03 |
| 1821603879 | Alexandria E Casertano | Counselor | 153 Hazard Ave, Enfield, CT 06082-4592 | 2020-09-15 |
| 1811500564 | Olivia D Pace | Counselor | 153 Hazard Ave, Enfield, CT 06082-4592 | 2020-08-24 |
| 1629681374 | Sarah Martino-kelley | Registered Nurse | 153 Hazard Ave, Enfield, CT 06082-4592 | 2020-08-24 |
| 1619580362 | Tiana J Mitchell | Counselor | 153 Hazard Ave, Enfield, CT 06082-4592 | 2020-08-24 |
| 1528670379 | Catherine Parsons | Licensed Practical Nurse | 153 Hazard Ave, Enfield, CT 06082-4592 | 2020-08-21 |
| 1548872799 | Jessica Lewis | Counselor | 153 Hazard Ave, Enfield, CT 06082-4592 | 2020-08-19 |
| 1073122859 | Blake Barrows | Licensed Practical Nurse | 153 Hazard Ave, Enfield, CT 06082-4592 | 2020-07-28 |
| 1861000697 | Julie Handleman | Registered Nurse | 153 Hazard Ave, Enfield, CT 06082-4592 | 2020-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235611674 | Danielle Rock | Student in an Organized Health Care Education/Training Program | 153 Hazard Avenue, Enfield, CT 06082 | 2018-09-01 |
| 1871083980 | Alexa Swan | Registered Nurse | 160 Hazard Avenue, Enfield, CT 06082 | 2018-05-14 |
| 1194236869 | Cheryl Anne Gorton | Nurse Practitioner | 701 Enfield Street Enfield Medical Associates, Enfield, CT 06082 | 2017-10-20 |
| 1639695935 | Mw Wellness Viii, LLC | Family Medicine | 155 Hazard Ave Ste 2, Enfield, CT 06082 | 2017-08-17 |
| 1447770748 | Nanas 247 Home Care & Companion Agency LLC | Home Health | 7g The Hamlet, Enfield, CT 06082 | 2017-06-27 |
| 1366962920 | Caroline Laplante | Speech-Language Pathologist | 12 Trevor Dr, Enfield, CT 06082 | 2017-06-26 |
| 1740722487 | Gentle Dental Assoicates PC | Clinic/Center | 118 Elm Street, Enfield, CT 06082 | 2016-11-11 |
| 1386048007 | Michelle Mary Keane-taylor | Occupational Therapy Assistant | 1157 Enfield Street, Kindred Healthcare @ Parkway Pavilion, Enfield, CT 06082 | 2014-10-09 |
| 1780927517 | Kymberly A Lessard | Counselor | 37 King Court, Enfield, CT 06082 | 2013-03-29 |
| 1790068500 | Enfield Pediatric Dentistry LLC | Dentist | 233 Hazard Avenue, Enfield, CT 06082 | 2011-09-28 |
| Find all providers in zip 06082 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427585603 | Sarah Roman | Counselor | 12 Sun St, Enfield, CT 06082-5116 | 2017-05-18 |
| 1427506823 | Amanda Klink | Counselor | 8 Crescent Beach Dr, Enfield, CT 06082-2335 | 2016-09-14 |
| 1487011904 | Steven Stimpson | Counselor | 163 Abbe Rd, Enfield, CT 06082-5216 | 2016-01-28 |
| 1679902779 | Mark Nassau | Counselor | 23 Burnham St, Enfield, CT 06082-6144 | 2013-11-08 |
| 1548512346 | Nicky Miqueal Silver | Counselor | 14495 Hwy 301 N, Enfield, NC 27823 | 2012-10-04 |
| 1689934077 | Supreme Teens, L&c | Counselor | 14495 Hwy 301 N., Enfield, NC 27823 | 2012-05-21 |
| 1598097230 | Carmen L Briceno | Counselor | 1415 Bigelow Commons, Enfield, CT 06082-3349 | 2010-02-05 |
| 1700012630 | Michelle L Barnard | Counselor | 707 Enfield St, Enfield, CT 06082-2903 | 2009-06-05 |
| 1497960728 | Patricia M Hanley | Counselor | 72 Spruceland Rd, Enfield, CT 06082-2359 | 2007-05-11 |
| 1528554490 | Astyn Drew Nancy Pollard | Counselor | 153 Hazard Ave, Enfield, CT 06082-4592 | 2018-07-03 |
| Find all providers in ENFIELD | ||||
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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.