Active NPIOrganization

Keith Golin PHD LLC

Psychologist, Clinical in West Orange, New Jersey

NPI Number1487660213
Practice location
659 Eagle Rock Ave Ste 4, West Orange, NJ 07052-2138
Fax
973-992-4639
Last updated
May 24, 2021

Keith Golin PHD LLC is a healthcare organization based in West Orange, NJ. Keith Golin PHD LLC practices in West Orange, NJ. The NPI Number for Keith Golin PHD LLC is 1487660213 and holds a License No. 35S100409900 (NJ). The current practice location address for Keith Golin PHD LLC is 659 Eagle Rock Ave Ste 4, West Orange, NJ 07052-2138 and can be reached out via phone at 888-284-2034 and via fax at 973-992-4639.

Provider Profile Details

NPI Number
1487660213
Provider Name
Keith Golin PHD LLC
Provider Entity Type
Organization
Address
659 Eagle Rock Ave Ste 4, West Orange, NJ 07052-2138
Phone Number
888-284-2034
Fax Number
973-992-4639
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Organization Subpart
No
Authorized Official
Dr. Keith Golin, PHD · Clinical Psychologist · 973-992-4639
Other Names
Keith Golin PHD (Doing Business As)
Provider Enumeration Date
August 1, 2006
Last Update Date
May 24, 2021
Certification Date
April 29, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
659 Eagle Rock Ave Ste 4
West Orange, NJ 07052-2138
Zip
07052-2138
Phone Number
888-284-2034
Fax Number
973-992-4639
West Orange, NJ 07052Get directions →

Provider Business Mailing Address Details

Address
18 Aspen Dr
Livingston, NJ 07039-1432
City
Livingston
State
NJ
Zip
07039-1432
Phone Number
888-284-2034
Fax Number
973-992-4639

License Information

Taxonomy (1)
Psychologist, Clinical · 103TC0700X
License Number (2)
35S100409900
License State (2)
NJ
Taxonomy (2)
Psychologist, Clinical · 103TC0700X · 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 Keith Golin PHD LLC?

The NPI number of Keith Golin PHD LLC is 1487660213. It was assigned on August 1, 2006 and is currently active in the NPPES registry.

What is the specialty of Keith Golin PHD LLC?

Keith Golin PHD LLC is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 35S100409900.

Where does Keith Golin PHD LLC practice?

The practice location is 659 Eagle Rock Ave Ste 4, West Orange, NJ 07052-2138. The office can be reached at 888-284-2034 (phone) or 973-992-4639 (fax).

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 1487660213 directly on the NPPES registry website.

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