ELKHONON GOLDBERG PH.D.
NPI 1770933830
Clinical Neuropsychologist in New York, NY

Active since June 20, 2016Opted out of Medicare · through Jun 20, 2028
315 W 57TH ST, SUITE 401, NEW YORK, NY 10019(212) 541-6412(212) 246-8916 Get Directions Write a Review

NPPES record last updated: June 20, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elkhonon Goldberg Ph.d. NPPES

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

ELKHONON GOLDBERG PH.D. (NPI 1770933830) is an individual clinical neuropsychologist in New York, New York, licensed in New York (008101) and active in the NPI registry since June 2016. He has opted out of Medicare through June 20, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1770933830
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameELKHONON GOLDBERGCredential: PH.D.
Location Address315 W 57TH ST, SUITE 401New York, NY 10019-3158
Mailing Address315 W 57th St, Suite 401New York, NY 10019-3158 · (212) 541-6412 · Fax (212) 246-8916
Fax(212) 246-8916
Sole ProprietorYes
Enumeration DateJune 20, 2016
NPI 1770933830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License Licensed in NY · 008101
Definition
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.
315 W 57TH ST, New York, NY 10019

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Elkhonon 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 June 20, 2016 through June 20, 2028.

Opt-Out Effective DateJune 20, 2016
Opt-Out In Effect ThroughJune 20, 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.

Other Providers at the Same Location NPPES 20

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

Radiology (Diagnostic Ultrasound)
315 W 57TH ST
NEW YORK, NY 10019
Dentist
315 W 57TH ST
NEW YORK, NY 10019
Specialist
315 W 57TH ST, APT 15J
NEW YORK, NY 10019
Social Worker (Clinical)
315 W 57TH ST, SUITE 307
NEW YORK, NY 10019
Psychologist
315 W 57TH ST, SUITE 402
NEW YORK, NY 10019
Specialist
315 W 57TH ST, SUITE 303
NEW YORK, NY 10019
Psychologist (Clinical)
315 W 57TH ST, SUITE 410
NEW YORK, NY 10019
Social Worker
315 W 57TH ST, 10D
NEW YORK, NY 10019

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 Elkhonon Goldberg's NPI number?

The NPI number for Elkhonon Goldberg is 1770933830. It was assigned to this individual provider in the NPPES registry on June 20, 2016.

Where is Elkhonon Goldberg located?

Elkhonon Goldberg practices at 315 W 57th St Suite 401, New York, NY 10019. The listed phone number is (212) 541-6412.

What is Elkhonon Goldberg's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Elkhonon Goldberg enrolled in Medicare?

No. Elkhonon Goldberg has opted out of Medicare through June 20, 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 Elkhonon Goldberg was last updated on June 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.