MARYBETH GOLDBERG


Address: 112 N Broad St, Philadelphia, PA 19102-1512
Phone: 2155680860

MARYBETH GOLDBERG (NPI# 1962059972) 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) 1962059972
Entity Type Individual
Full Name MARYBETH GOLDBERG
Practice Address 112 N Broad St
Philadelphia
PA 19102-1512
Practice Telephone 2155680860
Mailing Telephone 2155680860
Enumeration Date 2019-08-23
Last Update Date 2019-08-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Office Location

Street Address 112 N BROAD ST
City PHILADELPHIA
State PA
Zip Code 19102-1512

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619088788 John F. Kennedy Community Mh/mr Center Social Worker 112 N Broad St, Philadelphia, PA 19102-1510 2006-08-31
1851948848 Annette Kennedy Licensed Practical Nurse 112 N Broad St, Philadelphia, PA 19102-1512 2019-08-23
1083261028 Kelly Courtney Case Manager/Care Coordinator 112 N Broad St, Philadelphia, PA 19102-1512 2019-08-23
1093362097 Doven Brezner Counselor 112 N Broad St, Philadelphia, PA 19102-1512 2019-08-23
1891342804 Anna Jackson Counselor 112 N Broad St, Philadelphia, PA 19102-1512 2019-08-23
1881241867 Jasmine Barnes Case Manager/Care Coordinator 112 N Broad St, Philadelphia, PA 19102-1512 2019-08-23
1366099343 Emma Ledden Counselor 112 N Broad St, Philadelphia, PA 19102-1512 2019-08-23
1801443890 Jasmine Richardson Counselor 112 N Broad St, Philadelphia, PA 19102-1512 2019-08-23
1831746833 Sean Terence Smith Counselor 112 N Broad St, Philadelphia, PA 19102-1512 2019-08-23
1104398783 Jenniya Douglas Counselor 112 N Broad St, Philadelphia, PA 19102-1512 2018-12-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821650847 Alexandre Mason Sharma Student in an Organized Health Care Education/Training Program 200 N 16th St Apt 1318, Philadelphia, PA 19102 2019-06-29
1720648223 Ali Haydar Internal Medicine 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 2019-06-17
1124688734 Aakash Patel Internal Medicine Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 2019-06-17
1245898170 Parth Javia Internal Medicine 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102 2019-06-05
1588120968 John Granger II Social Worker 1500 Market St. 12th Floor Suite 75, Philadelphia, PA 19102 2019-02-11
1750851390 Philadelphia Pain and Neurology Institute, LLC Chiropractor 1528 Walnut Street Suite 620, Philadelphia, PA 19102 2018-11-27
1770076465 Sarthi Dalal Internal Medicine 245 N 15th St, Fl 6, Ms 427, Philadelphia, PA 19102 2018-06-07
1255824033 Joyce Nimo-boampong Internal Medicine Drexel University College of Medicine, 245 N 15th St, 6th Floor,ms 427, Philadelphia, PA 19102 2018-06-07
1134625692 Emma Rose Gormley Social Worker 1601 Walnut St Ste 1516, Philadelphia, PA 19102 2018-04-03
1851808497 Sunish Shah Pharmacist 230 N Broad St, Philadelphia, Pa 19102, Philadelphia, PA 19102 2018-01-04
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386269231 Rasheeda Jackson Counselor 117 Rosemar St, Philadelphia, PA 19120-1922 2020-06-16
1275170763 Erika Anaya Kellogg Counselor 3535 Market St Dept Of, Philadelphia, PA 19104-3309 2019-12-04
1568008480 Heather Mcgee Counselor 3343 Bowman St, Philadelphia, PA 19129-1538 2019-11-26
1104468222 Johann Ochoa Counselor 3900 Woodland Ave Bldg 3, Philadelphia, PA 19104-4551 2019-10-09
1730735051 Jill Verofsky Counselor 1180 Jfk Blvd, Suite 1110, Philadelphia, PA 19103 2019-08-13
1447805114 Sobriety Now LLC. Counselor 100 S Broad St Ste 2230, Philadelphia, PA 19110-1021 2019-08-08
1811453558 Terence Jones Counselor 1200 Callowhill St., Suite 101, Philadelphia, PA 19123 2019-02-19
1215400106 David Francis Ross Sr. Counselor 622 W Chew Ave Ste 2, Philadelphia, PA 19120-2211 2019-01-03
1124502604 Saida Heywood Counselor 1306 Catharine St, Philadelphia, PA 19147-2628 2018-09-20
1437649415 Ashley Przywitowski Counselor 9815 Roosevelt Blvd Ste B, Philadelphia, PA 19114-1035 2018-05-15
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Competitor

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City PHILADELPHIA
Zip Code 19102

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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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