PETER DAVID GOLDBERG (NPI# 1730299900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730299900 |
| Entity Type | Individual |
| Full Name | PETER DAVID GOLDBERG |
| Credential | MS |
| Practice Address |
102 Heritage Way Ne Ste 302 Leesburg VA 20176-4544 |
| Mailing Address |
1606 Woodstock Ln Reston VA 20194-1623 |
| Practice Telephone | 7037715100 |
| Practice Fax Number | 7037770170 |
| Mailing Telephone | 7032820315 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-11-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 0717001146 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891824132 | Peter Goldberg | Acupuncturist | 11 Miller View Rd, Great Barrington, MA 01230-9085 | 2007-03-04 |
| 1659606754 | Peter L Goldberg | Psychologist | 909 Ordway St, Albany, CA 94706-2115 | 2009-10-07 |
| 1457344996 | Peter J Goldberg | Physician Assistant | 575 Coal Valley Rd Ste 504, Clairton, PA 15025-3729 | 2005-08-30 |
| Street Address |
102 HERITAGE WAY NE STE 302 |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176-4544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699707802 | Lisa M Kirk | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2006-07-07 |
| 1780282376 | Kevin Grigsby | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2020-10-15 |
| 1922613561 | Bless Sherrina Whitaker | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2020-09-10 |
| 1619597648 | Douglas Mao | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2020-04-20 |
| 1942833520 | Shantell Turner | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2020-02-21 |
| 1265062426 | Ashlee Abney | Social Worker | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2020-01-16 |
| 1699312728 | Heather Rainey | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2019-12-09 |
| 1972146827 | Mihaela Stefan | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2019-10-23 |
| 1972159762 | Rebecca Suzanne Washington | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2019-08-16 |
| 1508419151 | Ryan Lynch | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2019-07-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912923 | Timothy Michael Nixon | Pharmacist | 61 Catoctin Circle, Leesburg, VA 20176 | 2020-11-05 |
| 1558996645 | Stacey E Moran | Occupational Therapist | 44124 Woodrige Parkway, Lansdowne, VA 20176 | 2020-03-09 |
| 1710531272 | Joseph H Kasuska Jr. | Specialist/Technologist | 19455 Deerfield Ave. Suite 306, Lansdowne, VA 20176 | 2019-08-01 |
| 1568935849 | Joel Manalang Polintan Jr. | Physical Therapist | 171 Cedarwalk Circle, Leesburg, VA 20176 | 2019-01-09 |
| 1194203026 | Jing Cao | Acupuncturist | 19450 Deerfield Ave Ste 275, Leesburg, VA 20176 | 2018-08-02 |
| 1134648314 | Alaina Marie Gotwalt | Speech-Language Pathologist | 43850 Heatherstone Terrace, Unit 406, Leesburg, VA 20176 | 2017-09-19 |
| 1841717105 | Happy Inhome Care Corp | Respite Care | 722 E Market St Ste 103, Leesburg, VA 20176 | 2017-08-28 |
| 1912423484 | Aaa Good Healthcare LLC | Nursing Care | 722 East Market Street Ne, Suite 102, Leesburg, VA 20176 | 2017-08-16 |
| 1740704253 | Anna Maria Domingo Seaford | Physician Assistant | 19441 Golf Vista Plz Ste 230, Lansdowne, VA 20176 | 2017-07-27 |
| 1710436480 | Reena Patel | Physician Assistant | 224 Cornwall St Nw Leesburg Orthope, Unit 204, Leesburg, VA 20176 | 2016-09-23 |
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| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609173400 | Christine Vandertol | Marriage & Family Therapist | 412 Tearose Pl Sw, Leesburg, VA 20175-2522 | 2011-02-15 |
| 1811129489 | Relationship Center of Loudoun | Marriage & Family Therapist | 110 Loudoun St Sw, Leesburg, VA 20175-2909 | 2009-08-17 |
| 1922168210 | Bozena Teresa Marcinczyk | Marriage & Family Therapist | 5727 Illumination Ln, Leesburg, FL 34748-8398 | 2006-12-09 |
| 1598202509 | Shannon N Carter | Marriage & Family Therapist | 100 S 11th St, Leesburg, FL 34748-5765 | 2017-01-27 |
| 1194268847 | Lauren Shettler | Marriage & Family Therapist | 102 Heritage Way Ne, Suite 103, Leesburg, VA 20176-4544 | 2016-11-29 |
| 1992143143 | Wendy Warren Coates | Marriage & Family Therapist | 199 Liberty St Sw, Leesburg, VA 20175-2715 | 2013-06-10 |
| 1154644219 | Montserrat Casado-kehoe | Marriage & Family Therapist | 1114 W Dixie Ave, Leesburg, FL 34748-6312 | 2010-03-03 |
| 1720135130 | Jeffery L Gainsley | Marriage & Family Therapist | 110 N 4th St, Leesburg, FL 34748-5167 | 2007-01-05 |
| 1790887693 | Kelly Jo Worth | Marriage & Family Therapist | 102 Heritage Way Ne, Suite 302, Leesburg, VA 20176-4544 | 2006-09-01 |
| 1548378656 | Debra Jeanne Schuetz | Marriage & Family Therapist | 102 Heritage Way Ne, Suite 302, Leesburg, VA 20176-4544 | 2006-08-28 |
| Find all providers in LEESBURG | ||||
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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.