DR. JUDITH LOUISE GOLDBERG PH.D.
NPI 1518237403
Psychologist - Clinical in New York, NY

Active since January 09, 2012Opted out of Medicare · through Mar 31, 2028
15 W 75TH ST, APT 1B, NEW YORK, NY 10023(914) 478-7202 Get Directions Write a Review

NPPES record last updated: January 9, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Judith Louise Goldberg Ph.d. NPPES

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

DR. JUDITH LOUISE GOLDBERG PH.D. (NPI 1518237403) is an individual clinical provider in New York, New York, licensed in New York (010302-1) and active in the NPI registry since January 2012. She has opted out of Medicare through March 31, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1518237403
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JUDITH LOUISE GOLDBERGCredential: PH.D.
Location Address15 W 75TH ST, APT 1BNew York, NY 10023-2060
Mailing Address3 Marianna DrHastings On Hudson, NY 10706-4020 · (914) 478-7202
Sole ProprietorYes
Enumeration DateJanuary 9, 2012
NPI 1518237403 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 NY · 010302-1
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.
15 W 75TH ST, New York, NY 10023

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. Judith Louise Goldberg Ph.d. 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 31, 2014 through March 31, 2028.

Opt-Out Effective DateMarch 31, 2014
Opt-Out In Effect ThroughMarch 31, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10023 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

Physician Assistant
15 W 75TH ST, #6A
NEW YORK, NY 10023
Psychologist (Clinical)
15 W 75TH ST, SUITE 1-B
NEW YORK, NY 10023
Psychologist (Clinical)
15 W 75TH ST, #1B
NEW YORK, NY 10023
Psychologist
15 W 75TH ST, SUITE 1B
NEW YORK, NY 10023
Psychologist (Clinical)
15 W 75TH ST, SUITE 1B
NEW YORK, NY 10023
Psychiatry & Neurology (Psychiatry)
15 W 75TH ST, SUITE 1B
NEW YORK, NY 10023

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 Judith Goldberg's NPI number?

The NPI number for Judith Goldberg is 1518237403. It was assigned to this individual provider in the NPPES registry on January 9, 2012.

Where is Judith Goldberg located?

Judith Goldberg practices at 15 W 75th St Apt 1B, New York, NY 10023. The listed phone number is (914) 478-7202.

What is Judith Goldberg's specialty?

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

Is Judith Goldberg enrolled in Medicare?

No. Judith Goldberg has opted out of Medicare through March 31, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Judith Goldberg was last updated on January 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.