KEITH GOLIN PHD - NPI 1487660213 - Psychologist in West Orange, NJ

Q: What is Keith Golin Phd LLC's NPI number?

The NPI number for Keith Golin Phd LLC is 1487660213. It was assigned to this organization in the NPPES registry on August 1, 2006. The provider is doing business as Keith Golin Phd.

Q: What is Keith Golin Phd LLC's specialty?

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

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About Keith Golin Phd NPPES

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

KEITH GOLIN PHD (NPI 1487660213) is a healthcare organization registered as a clinical in West Orange, New Jersey and active in the NPI registry since August 2006. The organization lists Keith Golin, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1487660213

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameKEITH GOLIN PHD LLC

Location Address659 EAGLE ROCK AVE STE 4West Orange, NJ 07052-2138

Mailing Address18 Aspen DrLivingston, NJ 07039-1432 · (888) 284-2034 · Fax (973) 992-4639

Phone(888) 284-2034

Fax(973) 992-4639

Organization SubpartNo

Authorized OfficialKeith GolinClinical Psychologist · (973) 992-4639

Enumeration DateAugust 1, 2006

Last NPPES UpdateMay 24, 20212 updates tracked since enumeration

NPPES CertifiedApril 29, 2021

✔ NPI 1487660213 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 NJ · 35S100409900

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.

659 EAGLE ROCK AVE STE 4, West Orange, NJ 07052

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Other Names 1

Doing Business AsKeith Golin Phd

Other Identifiers 3

Other6102096NJ · Evercare

Medicaid0114065NJ

Medicaid02330954NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

LIFE ENHANCEMENT CENTER OF NORTH JERSEY LLC

Psychologist (Clinical)