ELKHONON GOLDBERG PH.D.
NPI 1770933830
Clinical Neuropsychologist in New York, NY
- Individual
- Male
- Clinical Neuropsychologist
- PECOS Enrolled
- Opted-Out Medicare
About ELKHONON GOLDBERG
This page provides the complete NPI Profile along with additional information for Elkhonon Goldberg, a provider established in New York, New York with a medical specialization in Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1770933830 assigned on June 2016. The practitioner's primary taxonomy code is 103G00000X with license number 008101 (NY). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1770933830 Verify this NPI
- Provider Name
- ELKHONON GOLDBERG PH.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 315 W 57TH ST SUITE 401 NEW YORK, NY 10019
- Location Phone
- (212) 541-6412
- Location Fax
- (212) 246-8916
- Mailing Address
- 315 W 57TH ST SUITE 401 NEW YORK, NY 10019
- Mailing Phone
- (212) 541-6412
- Mailing Fax
- (212) 246-8916
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-20-2016
- Last Update Date
- 06-20-2016
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Elkhonon Goldberg opted out of Medicare effective on 06-20-2016 until 06-20-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinical Neuropsychologist
- Taxonomy Code
- 103G00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 008101
- License State
- NY
- Taxonomy Description
- A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Medicare Participation & PECOS Enrollment Status
Elkhonon Goldberg is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 06-20-2016
Opt-Out End Date: 06-20-2026
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770933830, enumerated as an "individual" on June 20, 2016.
The provider is located at 315 W 57TH ST SUITE 401 NEW YORK, NY 10019 and the phone number is (212) 541-6412.
Clinical Neuropsychologist with taxonomy code 103G00000X.
