Provider Demographics
NPI:1588723878
Name:GOLDSMITH PSYCHOLGICAL ASSOCIATES
Entity type:Organization
Organization Name:GOLDSMITH PSYCHOLGICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:S
Authorized Official - Last Name:GOLDSMITH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:412-363-8779
Mailing Address - Street 1:401 SHADY AVE
Mailing Address - Street 2:SUITE C207
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-4409
Mailing Address - Country:US
Mailing Address - Phone:412-363-8779
Mailing Address - Fax:412-363-9727
Practice Address - Street 1:401 SHADY AVE
Practice Address - Street 2:SUITE C207
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-4409
Practice Address - Country:US
Practice Address - Phone:412-363-8779
Practice Address - Fax:412-363-9727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS-004795-L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
R56543Medicare UPIN
515718Medicare ID - Type Unspecified