DR. LISA TAXMAN GOLDFARB PH.D.
NPI 1235447053
Psychologist in Port Jefferson, NY

Active since September 14, 2010PECOS Enrolled
118 SPRING ST, PORT JEFFERSON, NY 11777(631) 476-0564(631) 476-9322 Get Directions Write a Review

NPPES record last updated: September 14, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lisa Taxman Goldfarb Ph.d. NPPES

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

DR. LISA TAXMAN GOLDFARB PH.D. (NPI 1235447053) is an individual psychologist in Port Jefferson, New York, licensed in New York (011631) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1235447053
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. LISA TAXMAN GOLDFARBCredential: PH.D.
Location Address118 SPRING STPort Jefferson, NY 11777-1817
Mailing Address23 Holly Berry CtWading River, NY 11792-2157 · (516) 503-1553
Fax(631) 476-9322
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateSeptember 14, 2010
NPI 1235447053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NY · 011631
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
118 SPRING ST, Port Jefferson, NY 11777

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Lisa Taxman Goldfarb Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951829019
PECOS Enrollment IDI20250721000603
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

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

Social Worker (Clinical)
118 SPRING ST
PORT JEFFERSON, NY 11777
Psychologist (School)
118 SPRING ST
PORT JEFFERSON, NY 11777
Counselor (Mental Health)
118 SPRING ST
PORT JEFFERSON, NY 11777
Psychologist (School)
118 SPRING ST
PORT JEFFERSON, NY 11777
Social Worker (Clinical)
118 SPRING ST
PORT JEFFERSON, NY 11777
Social Worker (School)
118 SPRING ST
PORT JEFFERSON, NY 11777
Social Worker (School)
118 SPRING ST
PORT JEFFERSON, NY 11777
Social Worker (School)
118 SPRING ST, JEFFERSON ACADEMIC CENTER
PORT JEFFERSON, NY 11777

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 Lisa Taxman Goldfarb's NPI number?

The NPI number for Lisa Taxman Goldfarb is 1235447053. It was assigned to this individual provider in the NPPES registry on September 14, 2010.

Where is Lisa Taxman Goldfarb located?

Lisa Taxman Goldfarb practices at 118 Spring St, Port Jefferson, NY 11777. The listed phone number is (631) 476-0564.

What is Lisa Taxman Goldfarb's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Lisa Taxman Goldfarb enrolled in Medicare?

Yes. Lisa Taxman Goldfarb is registered in the Medicare PECOS enrollment system.

What insurance does Lisa Taxman Goldfarb accept?

Health plans from Providence Health Plan list Lisa Taxman Goldfarb as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Taxman Goldfarb was last updated on September 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.