Provider Demographics
NPI:1124825781
Name:GOLDBERG, JOSEPH MEIR (RMHCI)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:MEIR
Last Name:GOLDBERG
Suffix:
Gender:
Credentials:RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7830 STANWAY PL W
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-3326
Mailing Address - Country:US
Mailing Address - Phone:561-303-4633
Mailing Address - Fax:
Practice Address - Street 1:7830 STANWAY PL W
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-3326
Practice Address - Country:US
Practice Address - Phone:561-303-4633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH26586101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health