Keith Golin Phd

LBN: Keith Golin Phd Llc
Keith Golin Phd is an health care organization with primary practice located at 659 Eagle Rock Ave Ste 4 , West Orange NJ 07052-2138. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Keith Golin Phd Llc can be contacted via phone (888) 284-2034, or through Golin, Keith via phone (973) 992-4639.

Contact Information

Primary practice address
659 Eagle Rock Ave Ste 4 West Orange NJ 07052-2138
Phone: (888) 284-2034
Fax: (973) 992-4639
Website:
Map and Directions
Authorized official contact:
Name: Golin, Keith PHD
Phone: (973) 992-4639

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 35S100409900 New Jersey
Behavioral Health & Social Service Providers / Clinical 103TC0700X

Profile Details

NPI number 1487660213
LBN Legal business name Keith Golin Phd Llc
DBA Doing business as Keith Golin Phd
Authorized official Golin, Keith PHD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2006
Last updated May 24th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487660213 NPPES
New Jersey MEDICAID 0114065
New Jersey MEDICAID 02330954
New Jersey Other 6102096

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