JUDITH FREYA GOLDBERG


Address: 955 Main St, Suite 105, Winchester, MA 01890-1961
Phone: 7817210663

JUDITH FREYA GOLDBERG (NPI# 1437190642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437190642
Entity Type Individual
Full Name JUDITH FREYA GOLDBERG
Credential PH.D.
Practice Address 955 Main St
Suite 105
Winchester
MA 01890-1961
Practice Telephone 7817210663
Practice Fax Number 7817293210
Mailing Telephone 7817210663
Mailing Fax Number 7817293210
Enumeration Date 2006-06-09
Last Update Date 2012-04-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
1533 MA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA MAGELLAN 154168 01

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Office Location

Street Address 955 MAIN ST
SUITE 105
City WINCHESTER
State MA
Zip Code 01890-1961

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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821516436 Emily Elizabeth Blake Dietitian, Registered 107 Cross St Unit A, Winchester, MA 01890 2017-09-03
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1710235007 Nicole Tara Dieuseul Social Worker 80 Skillings Rd, Winchester, MA 01890 2012-08-17
1043589609 Karen Marie Caputo Social Worker 0 Ledgewood Road, Winchester, MA 01890 2011-12-27
1902110695 Kyla Malone Nurse Practitioner 1021 Main St Ste 102, Winchester, MA 01890 2010-08-05
1073843694 New England Pain Associates, PC Clinic/Center 10 Converse Place 4th Floor, Winchester, MA 01890 2010-01-04
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1184742165 Constance C Rosenberger Registered Nurse 49 Cabot St, Winchester, MA 01890 2007-03-27
1225164817 Susana Cheng Lee Social Worker 17 Socrates Way, Winchester, MA 01890 2007-02-26
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1104966761 David Dale Lanier Psychologist 2899 Two Mile Rd, Winchester, KY 40391-8155 2007-02-06
1326199480 Christopher C Decanio Psychologist 133 S Braddock St, Winchester, VA 22601 2007-01-16
1174603690 Angela Marett Butler Psychologist 801 S Loudoun St, Winchester, VA 22601 2006-10-17
1831201003 Philip E Pate Psychologist 801 S Lovdovn Street, Winchester, VA 22601 2006-08-31
1942283957 Hillary Turkewitz Psychologist 24 Oneida Rd, Winchester, MA 01890-3434 2005-11-22
1992284616 Craig Jones, Psyd, LLC Psychologist 955 Main St Ste 105, Winchester, MA 01890-4300 2018-08-13
1104305218 Si Si Han Psychologist 1840 Amherst St, Winchester, VA 22601-2808 2018-08-09
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Competitor

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City WINCHESTER
Zip Code 01890

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Dataset Information

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.

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