Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356955397 Individual Practitioner Male Practitioner

Thomas Goldstein

Behavior Technician • St Augustine, FL

Professional Overview & Biography Verified Profile Summary

Thomas Goldstein is a registered healthcare professional specializing in Behavior Technician in St Augustine, FL. Practice services are available at 124 CAPULET DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

124 Capulet Dr

St Augustine, FL 320924537

Telephone 9044297806
Associated Practice Facility / Clinic
🏢 Florida Autism Center Facility NPI 1639320203

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in St Augustine, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
172 Specialists

Practicing in St Augustine, FL (75895 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-09-08
Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Psychologist - Group Psychotherapy

NUCC Taxonomy Code: 103TP2701X

A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Empire Blue Cross
K90367026 (NY)
Commercial Insurance / Payer ID Emblemhealth
K9036702604 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Gabrielle Roche , RMHCI

Behavior Technician

NPI 1467029967
Michael Owens

Behavior Technician

NPI 1538741590
Bryan Sothoron

Behavior Technician

NPI 1851963094

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 08, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 08, 2020

Registered at 124 CAPULET DR, ST AUGUSTINE, FL 320924537 (Tel: 9044297806)

📍
Updated Business Mailing Address September 08, 2020

Registered at 300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 327465028 (Tel: 8666100580)

👤
Provider Name / Credentials Updated September 08, 2020

Recorded as THOMAS GOLDSTEIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2020

Psychologist

🟢
Initial NPI Registration & Enumeration September 08, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356955397
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 08, 2020
Last Update: September 08, 2020
Sole Proprietor: Yes

Mailing Address

300 International Pkwy Ste 200

Lake Mary, FL 327465028

Phone: 8666100580

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.