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Deactivated NPI 1265475107 Deactivated / Inactive NPI Male Practitioner

Dr. Philip Dauber Goldstein , PhD

Psychologist • Bronx, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Philip Goldstein has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 14, 2006
NPI Deactivation Date December 09, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Philip Goldstein, PhD was a registered Psychologist practicing in Bronx, NY. Throughout an active medical career spanning 13 years, Dr. Goldstein provided care at the practice location at 591 E TREMONT AVE until profile deactivation on 2019-12-09.

Historical Medicare Part B clinical services included psychotherapy, psychiatric diagnostic evaluation. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

591 E Tremont Ave

Bronx, NY 104574727

Telephone 7189017555
Fax 7189017556
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Bronx, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.3 Yrs
State Avg: 30.1 Yrs
Regional Practice Density
205 Specialists

Practicing in Bronx, NY (5379 Statewide)

Telehealth Adoption Rate
2.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
47.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90832 Psychotherapy, 30 minutes
193 27 $150.00 $69.81
90837 Psychotherapy, 60 minutes
108 14 $250.00 $139.53

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License NY 014801

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1235522988

Doctor of Dental Medicine

Dr. Braulio Lajara , DDS, MS

Dentist - General Practice

NPI 1639813421

Doctor of Dental Surgery, Master of Science

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated December 09, 2019

Record deactivated on December 09, 2019

NPI Profile Active June 13, 2008

NPI status registered as active in NPPES database

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Updated Practice Location June 13, 2008

Registered at 591 E TREMONT AVE, BRONX, NY 104574727 (Tel: 7189017555)

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Updated Business Mailing Address June 13, 2008

Registered at 38 BUTLER HILL RD, SOMERS, NY 105892405 (Tel: 9142762474)

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Provider Name / Credentials Updated June 13, 2008

Recorded as PHILIP GOLDSTEIN, PHD

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2008

Psychologist (License #014801 in NY)

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Initial NPI Registration & Enumeration June 14, 2006

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: 1265475107
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2006
Last Update: June 13, 2008
Deactivation Date: December 09, 2019

Mailing Address

38 Butler Hill Rd

Somers, NY 105892405

Phone: 9142762474

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.