Mr Michael W Goldberg, MA is a
Psychologist - School based in Dulce, New Mexico. Mr Michael W Goldberg is licensed to practice in New Mexico (license number 308194) and his current practice location is
113 Hawk Drive, Dulce, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(505) 759-2954.
NPI number for Mr Michael W Goldberg is 1043340987 and his current mailing address is 98 Bull Elk Pl, Pagosa Springs, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043340987.
Healthcare Provider's Profile
Full Name | Mr Michael W Goldberg |
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Gender | Male |
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Speciality | Psychologist - School |
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Location | 113 Hawk Drive, Dulce, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043340987
- Provider Enumeration Date: 03/07/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Michael W Goldberg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043340987 | NPI | - | NPPES |
27087859 | Medicaid | NM | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TS0200X | Psychologist - School | 308194 (New Mexico) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Michael W Goldberg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Michael W Goldberg, MA 98 Bull Elk Pl, Pagosa Springs, CO 81147-8511 Ph: () - | Mr Michael W Goldberg, MA 113 Hawk Drive, Dulce, NM 87528 Ph: (505) 759-2954 |
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