KENNETH J GOLDBERG ED.D
NPI 1336104512
Psychologist in Tempe, AZ
NPI Status: Active since April 19, 2006
Contact Information
600 E BASELINE RD
SUITE C-1
TEMPE, AZ
ZIP 85283
Phone: (602) 264-4600
Fax: (602) 264-7325
- Individual
- Male
- Years of Experience 44
- Psychologist
- Accepts Insurance
- May Accept Medicare Approved Payment
- PECOS Enrolled
About KENNETH GOLDBERG
This page provides the complete NPI Profile along with additional information for Kenneth Goldberg, a provider established in Tempe, Arizona with a medical specialization in Psychologist and more than 44 years of experience. The healthcare provider is registered in the NPI registry with number 1336104512 assigned on April 2006. The practitioner's primary taxonomy code is 103T00000X with license number 1045 (AZ). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1336104512
- Provider Name
- KENNETH J GOLDBERG ED.D
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 600 E BASELINE RD SUITE C-1 TEMPE, AZ 85283
- Location Phone
- (602) 264-4600
- Location Fax
- (602) 264-7325
- Mailing Address
- 600 E BASELINE RD SUITE C-1 TEMPE, AZ 85283
- Mailing Phone
- (602) 264-4600
- Mailing Fax
- (602) 264-7325
- Medical School Name
- OTHER
- Graduation Year
- 1982
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-19-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A psychologist like Kenneth Goldberg studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist
- Taxonomy Code
- 103T00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 1045
- License State
- AZ
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect Bronze 6800 Indiv Med Deductible - HMO
- Connect Bronze 8900 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold 2500 Indiv Med Deductible - HMO
- Connect Gold CMS Standard - HMO
- Connect Silver 4000 Indiv Med Deductible - HMO
- Connect Silver 5000 Indiv Med Deductible - HMO
- Connect Silver CMS Standard - HMO
- Bronze Classic 4700 - HMO
- Bronze Classic Standard - HMO
- Bronze Elite + PCP Saver Plus - HMO
- Gold Classic - HMO
- Gold Classic Standard - HMO
- Secure - HMO
- Silver Classic Standard - HMO
- Silver Elite Saver Plus - HMO
- Silver Simple Chronic Care CKM - HMO
- Silver Simple PCP Saver - HMO
- UHC Bronze Standard - HMO
- UHC Gold Standard - HMO
- UHC Silver Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 69453 | MEDICARE ID-TYPE UNSPECIFIED (04) | AZ |
Medicare Participation & PECOS Enrollment Status
Kenneth Goldberg is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Kenneth Goldberg is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 3375618853
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20080818000660
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for KENNETH J GOLDBERG ED.D
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 1 | 0 | 4 | 5 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 2 | 0 | 8 | 5 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 2 + 0 + 8 + 5 + 2 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1336104512 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1932341112 | PLAY ABA LLC Organization | Speech-Language Pathologist | 600 E BASELINE RD SUITE B-6 TEMPE, AZ 85283 (480) 839-6000 |
| 1417185810 | MISS ALEXIS M. ALEXANDER Individual | Counselor (Professional) | 600 E BASELINE RD B-2 TEMPE, AZ 85283 (520) 610-3258 |
| 1619293453 | ALISSA M WILLEY-SPERRY M.ED. Individual | Specialist | 600 E BASELINE RD STE 101 TEMPE, AZ 85283 (480) 839-4668 |
| 1952610735 | GOLDBERG CONSULTING GROUP, INC. Organization | Psychologist (Counseling) | 600 E BASELINE RD SUITE C-1 TEMPE, AZ 85283 (480) 831-0746 |
| 1114218419 | HEATHER WILSON Individual | Specialist/Technologist (Speech-Language Assistant) | 600 E BASELINE RD SUITE B-6 TEMPE, AZ 85283 (480) 839-6000 |
| 1548556525 | CATHERINE BARIL-NEELY LCSW Individual | Social Worker (Clinical) | 600 E BASELINE RD STE C-1 TEMPE, AZ 85283 (602) 264-4600 |
| 1164832226 | JOY ZIAS SLPA Individual | Specialist/Technologist (Speech-Language Assistant) | 600 E BASELINE RD SUITE A4 TEMPE, AZ 85283 (480) 839-6000 |
| 1871960229 | FATIMA AZIZ ALHADI N.M.D Individual | Naturopath | 600 E BASELINE RD B2 TEMPE, AZ 85283 (480) 568-0252 |
| 1699261982 | CHEVICK FAMILY HOMECARE LLC Organization | Home Health | 600 E BASELINE RD TEMPE, AZ 85283 (480) 508-4924 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336104512, enumerated in the NPI registry as an "individual" on April 19, 2006
The provider is located at 600 E Baseline Rd Suite C-1 Tempe, Az 85283 and the phone number is (602) 264-4600
The provider's speciality is Psychologist with taxonomy code 103T00000X
The provider has more than 44 years of experience.
The provider might be accepting Accepts: BannerAetna, Cigna HealthCare of Arizona, Inc,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on April 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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