Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KENNETH J GOLDBERG ED.D
NPI 1336104512
Psychologist in Tempe, AZ

Active since April 19, 2006PECOS Enrolled
600 E BASELINE RD, SUITE C-1, TEMPE, AZ 85283(602) 264-4600(602) 264-7325 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenneth J Goldberg Ed.d NPPES

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

KENNETH J GOLDBERG ED.D (NPI 1336104512) is an individual psychologist in Tempe, Arizona, licensed in Arizona (1045) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1336104512
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameKENNETH J GOLDBERGCredential: ED.D
Location Address600 E BASELINE RD, SUITE C-1Tempe, AZ 85283-1247
Mailing Address600 E Baseline Rd, Suite C-1Tempe, AZ 85283-1247 · (602) 264-4600 · Fax (602) 264-7325
Fax(602) 264-7325
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateApril 19, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1336104512 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 AZ · 1045
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.
600 E BASELINE RD, Tempe, AZ 85283

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)

Kenneth J Goldberg Ed.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375618853
PECOS Enrollment IDI20080818000660
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 9

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

Specialist/Technologist (Speech-Language Assistant)
600 E BASELINE RD, SUITE B-6
TEMPE, AZ 85283
Specialist/Technologist (Speech-Language Assistant)
600 E BASELINE RD, SUITE A4
TEMPE, AZ 85283
Counselor (Professional)
600 E BASELINE RD, B-2
TEMPE, AZ 85283
Social Worker (Clinical)
600 E BASELINE RD, STE C-1
TEMPE, AZ 85283
Specialist
600 E BASELINE RD, STE 101
TEMPE, AZ 85283
Home Health
600 E BASELINE RD
TEMPE, AZ 85283
Naturopath
600 E BASELINE RD, B2
TEMPE, AZ 85283
Speech-Language Pathologist
600 E BASELINE RD, SUITE B-6
TEMPE, AZ 85283

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 Kenneth Goldberg's NPI number?

The NPI number for Kenneth Goldberg is 1336104512. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Kenneth Goldberg located?

Kenneth Goldberg practices at 600 E Baseline Rd Suite C-1, Tempe, AZ 85283. The listed phone number is (602) 264-4600.

What is Kenneth Goldberg's specialty?

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

Is Kenneth Goldberg enrolled in Medicare?

Yes. Kenneth Goldberg is registered in the Medicare PECOS enrollment system.

What insurance does Kenneth Goldberg accept?

Health plans from Oscar Health Plan, Inc., Providence Health Plan and UnitedHealthcare list Kenneth Goldberg 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 Kenneth Goldberg was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.