Active NPIIndividual provider

Jaclyn Goldberg

Counselor, Mental Health in Augusta, Maine

NPI Number1124689492
Practice location
10 Caldwell RD, Augusta, ME 04330-5735
Fax
—
Last updated
June 26, 2019

Jaclyn Goldberg is a Counselor, Mental Health based in Augusta, ME. Jaclyn Goldberg practices in Augusta, ME. The NPI Number for Jaclyn Goldberg is 1124689492. The current practice location address for Jaclyn Goldberg is 10 Caldwell RD, Augusta, ME 04330-5735 and can be reached out via phone at 207-213-4520.

Provider Profile Details

NPI Number
1124689492
Provider Name
Jaclyn Goldberg
Provider Entity Type
Individual
Gender
Female
Address
10 Caldwell RD, Augusta, ME 04330-5735
Phone Number
207-213-4520
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
June 26, 2019
Last Update Date
June 26, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Caldwell RD
Augusta, ME 04330-5735
State
Maine
Zip
04330-5735
Phone Number
207-213-4520
Augusta, ME 04330Get directions →

Provider Business Mailing Address Details

Address
20 Enterprise Dr
Brunswick, ME 04011-2711
City
Brunswick
State
ME
Zip
04011-2711

License Information

Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jaclyn Goldberg?

The NPI number of Jaclyn Goldberg is 1124689492. It was assigned on June 26, 2019 and is currently active in the NPPES registry.

What is the specialty of Jaclyn Goldberg?

Jaclyn Goldberg is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Jaclyn Goldberg practice?

The practice location is 10 Caldwell RD, Augusta, ME 04330-5735. The office can be reached at 207-213-4520 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124689492 directly on the NPPES registry website.

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