Thomas Goldstein, is a
Behavior Technician based in St Augustine, Florida. Thomas Goldstein is licensed to practice in * (Not Available) (license number ) and his current practice location is
124 Capulet Dr, St Augustine, Florida. He can be reached at his office (for appointments etc.) via phone at
(904) 429-7806.
NPI number for Thomas Goldstein is 1356955397 and his current mailing address is 300 International Pkwy Ste 200, Lake Mary, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1356955397.
Healthcare Provider's Profile
| Full Name | Thomas Goldstein |
|---|
| Gender | Male |
|---|
| Speciality | Behavior Technician |
|---|
| Location | 124 Capulet Dr, St Augustine, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1356955397
- Provider Enumeration Date: 09/08/2020
- Last Update Date: 09/08/2020
Medical Identifiers
Medical identifiers for Thomas Goldstein such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356955397 | NPI | - | NPPES |
| K90367026 | Other | NY | EMPIRE BLUE CROSS |
| K9036702604 | Other | NY | EMBLEMHEALTH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | 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. Thomas Goldstein 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 |
|---|
Thomas Goldstein,
300 International Pkwy Ste 200,
Lake Mary, FL 32746-5028
Ph: (866) 610-0580 | Thomas Goldstein,
124 Capulet Dr,
St Augustine, FL 32092-4537
Ph: (904) 429-7806 |
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