National Provider Identifier Database

CLARK R GOLDSTEIN, PhD – NPI #1215121710
Psychologist

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.


Contact Information

CLARK R GOLDSTEIN, PhD
1981 MARCUS AVENUE
SUITE C-102 NYU CHILD STUDY CENTER
LAKE SUCCESS, NY11042
Phone: 516-358-1808
Fax: 646-754-9854
Website:
Specialty Taxonomy Code
* Psychologist 103T00000X
Social Worker 104100000X

* Indicates primary specialty

NPI Profile & details for CLARK R GOLDSTEIN

NPI Number 1215121710
Credentials PhD
Entity Individual
Enumeration date 08/29/2007
Last updated 04/07/2016 - About 10 years ago
Sole proprietor1 Yes
Identifiers
  • NY License #: 019503
  • NY License #: 50019503
  • MA Medicaid: 1312677
  • MA Other: M18708 BLUE CROSS
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for CLARK R GOLDSTEIN, PhD

There are currently no reviews for CLARK R GOLDSTEIN, PhD


NPIdb - Home
v2.201