DR. CARLY MICHELLE GOLDSTEIN (NPI# 1255865218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255865218 |
Entity Type | Individual |
Full Name | DR. CARLY MICHELLE GOLDSTEIN |
Credential | PH.D. |
Practice Address |
196 Richmond St Providence RI 02903-4212 |
Practice Telephone | 4017938960 |
Practice Fax Number | 4017938943 |
Mailing Telephone | 4017938960 |
Mailing Fax Number | 4017938943 |
Enumeration Date | 2017-04-17 |
Last Update Date | 2017-04-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TC0700X |
Psychologist Specialization: Clinical |
PS01614 | RI | Behavioral Health & Social Service Providers |
Y | 103TH0004X |
Psychologist Specialization: Health |
PS01614 | RI | Behavioral Health & Social Service Providers |
Street Address |
196 RICHMOND ST |
City | PROVIDENCE |
State | RI |
Zip Code | 02903-4212 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609475755 | Sarah Fellows | Student in an Organized Health Care Education/Training Program | 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 | 2020-10-20 |
1093328262 | Esther Robbins | Social Worker | 290 West Exchange St., Suite 100, Providence, RI 02903 | 2020-08-27 |
1720619489 | Ivy Marie Mcdonald | Behavioral Analyst | 290 W Exchange St #101, Providence, RI 02903 | 2020-01-31 |
1447802707 | Natalie Monaghan, LLC | Social Worker | 545 South Water Street, Providence, RI 02903 | 2019-07-16 |
1760049522 | Daniel Steven Alanko | Pediatrics | 293 Eddy Street, Providence, RI 02903 | 2019-05-28 |
1154894368 | Margaret Emily Dyson | Behavior Technician | 290 W. Exchange St, Providence, RI 02903 | 2019-01-10 |
1497235014 | Yao Zhou Liu | Surgery | 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 | 2018-08-14 |
1558840645 | Tamara Gore | Behavior Technician | 290 W Exchange Street Suite 101, Providence, RI 02903 | 2018-08-09 |
1437642709 | Adrian Cotarelo | Student in an Organized Health Care Education/Training Program | 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 | 2018-06-12 |
1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
Find all providers in zip 02903 |
Taxonomy Code | 103TH0004X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Health |
The distinct focus of the clinical health psychologist is on physical health problems. A clinical health psychologist has special expertise or training in clinical health psychology and applies scientific knowledge of the interrelationships among behavioral, emotional, cognitive, social and biological components in health and disease to the promotion and maintenance of health; the prevention, treatment and rehabilitation of illness and disability; and the improvement of the health care system. Clinical health psychologists are dedicated to the development of knowledge regarding the interface between behavior and health, and to the delivery of high quality services based on that knowledge to individuals, families, and health care. |
Notes: Source: American Psychological Association Commission for the Recognition of Specialties and Proficiencies in Professional Psychology, 2008. [1/1/2007: new, 7/1/2008: definiton added, source added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255681706 | Caitlin Burditt | Psychologist | 830 Chalkstone Ave, Providence, RI 02908-4734 | 2012-09-12 |
City | PROVIDENCE |
Zip Code | 02903 |
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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.