Active NPIIndividual providerSole proprietor

Keith Golin, PHD

Psychologist, Clinical in West Orange, New Jersey

NPI Number1689610875
Practice location
659 Eagle Rock Ave, Ste 4, West Orange, NJ 07052-2138
Fax
973-992-4639
Last updated
May 24, 2021

Keith Golin is a Psychologist, Clinical based in West Orange, NJ. Keith Golin practices in West Orange, NJ and has the professional credentials of PHD. The NPI Number for Keith Golin is 1689610875 and holds a License No. 35SI0040990 (NJ). The current practice location address for Keith Golin 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
1689610875
Provider Name
Keith Golin
Credential
PHD
Provider Entity Type
Individual
Gender
Male
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
Sole Proprietor
Yes
Provider Enumeration Date
June 22, 2006
Last Update Date
May 24, 2021
Certification Date
May 24, 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

License Number
35SI0040990
License State
NJ
Taxonomy
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?

The NPI number of Keith Golin, PHD is 1689610875. It was assigned on June 22, 2006 and is currently active in the NPPES registry.

What is the specialty of Keith Golin, PHD?

Keith Golin, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 35SI0040990.

Where does Keith Golin, PHD 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 1689610875 directly on the NPPES registry website.

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