DR. MICHAEL R GOLDSTEIN PHD
NPI 1003410929
Psychologist - Clinical in Boston, MA

Q: What is Michael Goldstein's NPI number?

The NPI number for Michael Goldstein is 1003410929. It was assigned to this individual provider in the NPPES registry on November 23, 2020.

Q: What is Michael Goldstein's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Michael Goldstein enrolled in Medicare?

No. Michael Goldstein has opted out of Medicare through March 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Michael Goldstein was last updated on November 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 23, 2020Opted out of Medicare · through Mar 16, 2027

330 BROOKLINE AVE, BOSTON, MA 02215(617) 356-7246 Get Directions Write a Review

NPPES record last updated: November 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Michael R Goldstein Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL R GOLDSTEIN PHD (NPI 1003410929) is an individual clinical provider in Boston, Massachusetts, licensed in Massachusetts (11337) and active in the NPI registry since November 2020. He has opted out of Medicare through March 16, 2027 and is a graduate of University Of Arizona College Of Medicine (2019).

NPPES Registry Identity

NPI1003410929

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MICHAEL R GOLDSTEINCredential: PHD

Location Address330 BROOKLINE AVEBoston, MA 02215-5491

Mailing Address330 Brookline AveBoston, MA 02215-5491 · (617) 356-7246

Phone(617) 356-7246

Sole ProprietorYes

Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2019

Enumeration DateNovember 23, 2020

NPPES CertifiedNovember 23, 2020

✔ NPI 1003410929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MA · 11337

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

330 BROOKLINE AVE, Boston, MA 02215

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Michael R Goldstein Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 16, 2023 through March 16, 2027.

Opt-Out Effective DateMarch 16, 2023

Opt-Out In Effect ThroughMarch 16, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BETH ISRAEL DEACONESS MEDICAL CENTER

Chronic Disease Hospital (Children)

330 BROOKLINE AVE
BOSTON, MA 02215

Suffolk County (617) 677-4042

DR. BRIAN DANIEL HOBBS MD, MMSC

Internal Medicine

330 BROOKLINE AVE, PULMONARY AND CRITICAL CARE DEPARTMENT
BOSTON, MA 02215

Suffolk County (617) 667-5864

ERICA DOMMASCH MD

Dermatology

330 BROOKLINE AVE, SHAPIRO 2
BOSTON, MA 02215

Suffolk County (617) 667-3753

VAHID KIARAD M.D

Anesthesiology

330 BROOKLINE AVE
BOSTON, MA 02215

Suffolk County (617) 667-7000

JULIA MARIE BERG MD

Internal Medicine

330 BROOKLINE AVE
BOSTON, MA 02215

Suffolk County (617) 667-7000

SARA MURDOCK CAHILL MD

Hospitalist

330 BROOKLINE AVE
BOSTON, MA 02215

Suffolk County (617) 667-7000

DR. ELIZABETH MAIER BALOUGH MD, PHD

Student in an Organized Health Care Education/Training Program

330 BROOKLINE AVE
BOSTON, MA 02215

Suffolk County (617) 667-7000

ETHAN G BURKE

Emergency Medicine

330 BROOKLINE AVE
BOSTON, MA 02215

Suffolk County (617) 667-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Goldstein's NPI number?

The NPI number for Michael Goldstein is 1003410929. It was assigned to this individual provider in the NPPES registry on November 23, 2020.

Where is Michael Goldstein located?

Michael Goldstein practices at 330 Brookline Ave, Boston, MA 02215. The listed phone number is (617) 356-7246.

What is Michael Goldstein's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Michael Goldstein enrolled in Medicare?

No. Michael Goldstein has opted out of Medicare through March 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Michael Goldstein was last updated on November 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.