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

Active since August 01, 2006
659 EAGLE ROCK AVE STE 4, WEST ORANGE, NJ 07052(888) 284-2034(973) 992-4639 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 24, 2021, Aug 22, 2020 (2 updates tracked since 2020).

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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keith Golin Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

39

Medicare enrollment records show 39 clinicians reassign Medicare billing to Keith Golin Phd, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 15 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Clinical Social Worker24
Clinical Psychologist10
Marriage and Family Therapist2
Mental Health Counselor2
Nurse Practitioner1

Nearest to this location (20)

See all 39
Clinical Social Worker
NPI 1225743594
659 EAGLE ROCK AVE
West Orange, NJ 07052
(617) 803-8450
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1689610875
659 EAGLE ROCK AVE STE 4
West Orange, NJ 07052
(888) 284-2034
✔ PECOS✔ Accepts MedicareSame address
Marriage and Family Therapist
NPI 1639858533
659 EAGLE ROCK AVE STE 4
West Orange, NJ 07052
(888) 284-2034
✔ PECOSSame address
Clinical Social Worker
NPI 1386323947
659 EAGLE ROCK AVE STE 4
West Orange, NJ 07052
(888) 284-2034
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1366572174
659 EAGLE ROCK AVE SUITE 4
West Orange, NJ 07052
(201) 321-0347
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1801422886
80 MAIN ST STE 300
West Orange, NJ 07052
(201) 953-5506
✔ PECOS✔ Accepts Medicare2.4 mi
Clinical Social Worker
NPI 1467964296
53 SPRINGBROOK RD
Livingston, NJ 07039
(973) 900-1341
✔ PECOS✔ Accepts Medicare2.7 mi
Marriage and Family Therapist
NPI 1831807197
56 CONGRESSIONAL PKWY
Livingston, NJ 07039
(732) 672-9051
✔ PECOS✔ Accepts Medicare3.1 mi
Clinical Social Worker
NPI 1023536406
312 N FULLERTON AVE
Montclair, NJ 07042
(973) 978-3957
✔ PECOS✔ Accepts Medicare3.2 mi
Clinical Social Worker
NPI 1659941391
126 CONOVER AVE
Nutley, NJ 07110
(201) 349-3804
✔ PECOS✔ Accepts Medicare5.6 mi
Clinical Social Worker
NPI 1124188800
368 ESSEX STREET 2ND FLOOR
Millburn, NJ 07041
(973) 823-9168
✔ PECOS✔ Accepts Medicare6.5 mi
Clinical Psychologist
NPI 1851705461
24 CLAREMONT DR
Short Hills, NJ 07078
(973) 379-5856
✔ PECOS✔ Accepts Medicare7.1 mi
Clinical Psychologist
NPI 1477763571
160 SUMMIT AVE APT 3
Summit, NJ 07901
(908) 273-9147
✔ PECOS✔ Accepts Medicare7.9 mi
Clinical Social Worker
NPI 1467426601
99 BEAUVOIR AVE
Summit, NJ 07901
(973) 971-5595
✔ PECOS✔ Accepts Medicare8.4 mi
Clinical Social Worker
NPI 1982538773
141 N HILLSIDE AVE
Chatham, NJ 07928
(973) 906-2632
✔ PECOS8.4 mi
Clinical Social Worker
NPI 1104291038
655 WESTFIELD AVE
Elizabeth, NJ 07208
(908) 352-8375
✔ PECOS✔ Accepts Medicare10 mi
Mental Health Counselor
NPI 1528804119
169 MCADOO AVE
Jersey City, NJ 07305
(305) 922-3414
✔ PECOS11 mi
Clinical Social Worker
NPI 1477048478
890 MOUNTAIN AVE
New Providence, NJ 07974
(908) 277-8900
✔ PECOS✔ Accepts Medicare12 mi
Clinical Psychologist
NPI 1134497852
3512 QUENTIN RD SUITE 110
Brooklyn, NY 11234
(800) 275-3243
✔ PECOS✔ Accepts Medicare22 mi
Clinical Psychologist
NPI 1952535841
131 W HIGH ST
Somerville, NJ 08876
(908) 393-1533
✔ PECOS✔ Accepts Medicare25 mi
See all 39 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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.

Where is Keith Golin Phd LLC located?

Keith Golin Phd LLC is located at 659 Eagle Rock Ave Ste 4, West Orange, NJ 07052. The listed phone number is (888) 284-2034.

What is Keith Golin Phd LLC's specialty?

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

Is Keith Golin Phd LLC enrolled in Medicare?

Yes. Keith Golin Phd LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Keith Golin Phd LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 39 clinicians in 5 Medicare specialties reassign their Medicare billing to Keith Golin Phd LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (24), Clinical Psychologist (10) and Marriage and Family Therapist (2). Of these, 5 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Keith Golin Phd LLC was last updated on May 24, 2021. 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.