MARYBETH GOLDBERG (NPI# 1962059972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
Street Address |
112 N BROAD ST |
City | PHILADELPHIA |
State | PA |
Zip Code | 19102-1512 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 19102 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
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 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19102 |
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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.