Provider Demographics
NPI:1225742323
Name:RACHEL L GOLDMAN PHD PSYCHOLOGIST PLLC
Entity Type:Organization
Organization Name:RACHEL L GOLDMAN PHD PSYCHOLOGIST PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:301-466-0194
Mailing Address - Street 1:240 E 39TH ST APT 20G
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-7205
Mailing Address - Country:US
Mailing Address - Phone:301-466-0194
Mailing Address - Fax:
Practice Address - Street 1:675 3RD AVENUE, FRONT C #1037
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-1001
Practice Address - Country:US
Practice Address - Phone:646-694-2445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-12
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty