Provider Demographics
NPI:1346220589
Name:BARINGOLDZ, GREGG MICHAEL (PHD)
Entity Type:Individual
Prefix:DR
First Name:GREGG
Middle Name:MICHAEL
Last Name:BARINGOLDZ
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3605 LONG BEACH BLVD
Mailing Address - Street 2:SUITE 329
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-4013
Mailing Address - Country:US
Mailing Address - Phone:888-486-2148
Mailing Address - Fax:888-486-2148
Practice Address - Street 1:3605 LONG BEACH BLVD
Practice Address - Street 2:SUITE 329
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-4013
Practice Address - Country:US
Practice Address - Phone:888-486-2148
Practice Address - Fax:888-486-2148
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-21
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral