Dr Richard Thayer Goldberg, EDD | |
125 Nashua St, Boston, MA 02114-1198 | |
(617) 573-2608 | |
(617) 573-7119 |
Full Name | Dr Richard Thayer Goldberg |
---|---|
Gender | Male |
Speciality | Psychologist |
Location | 125 Nashua St, Boston, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326039512 | NPI | - | NPPES |
W02464 | Other | MA | BCBS MA |
0520004 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 1344 (Massachusetts) | Primary |
Entity Name | Massachusetts General Physicians Organization Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434 |
Entity Name | The General Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351 |
Mailing Address | Practice Location Address |
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Dr Richard Thayer Goldberg, EDD Po Box 9142, Charlestown, MA 02129-9142 Ph: (617) 724-0287 | Dr Richard Thayer Goldberg, EDD 125 Nashua St, Boston, MA 02114-1198 Ph: (617) 573-2608 |
Dr. Sharon Cohan Sung, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 185 Cambridge St, Suite 2200, 2nd Floor, Boston, MA 02114 Phone: 617-724-0666 Fax: 617-643-3080 | |
Dr. William Arthur Winn Iii, ED.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 66 Long Wharf, Boston, MA 02110 Phone: 617-624-3340 Fax: 617-523-8197 | |
Dr. Karen Suzanne Mitchell, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 150 S Huntington Ave, 116b-3, Boston, MA 02130 Phone: 857-364-2149 | |
Corey Baechel, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 84 State St, Boston, MA 02109 Phone: 860-788-6404 | |
Dr. Laura Richardson, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 55 Fruit St, Boston, MA 02114 Phone: 617-724-5600 | |
Dr. Allison E White, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 32 Fruit St Bldg Suite6a, Boston, MA 02114 Phone: 617-643-2471 | |
Dr. Jefferson Martin Crowe, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8 Faneuil Hall Marketplace # 326, Boston, MA 02109 Phone: 303-304-6528 |