DR. GARY GOLDMAN (PSY.D.) – Clinical Neuropsychologist, NPI 1841251204

DR. GARY GOLDMAN (PSY.D.) is a healthcare provider. based in Arlington, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 6514 (MA). The NPI Number for DR. GARY GOLDMAN (PSY.D.) is 1841251204

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. GARY GOLDMAN (PSY.D.)
NPI
1841251204
Phone
(781) 646-0500
Address
22 MILL ST
Enumeration Date
28 March 2006
Last Update Date
7 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7816460500
Graduation Year
1991 (35 years ago)
PAC ID
5496646275
Group Practice PAC ID
5991763823
Professional Enrollment ID
I20040322001352
Address ID
MA024764738AR22XXXSTXX313
Telehealth
Yes

Contacts

Secure Messaging
ggoldmanpsyd9454@direct.atrius.masshiway.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,694 CLINICAL PSYCHOLOGIST in MA

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Provider Addresses for DR. GARY GOLDMAN (PSY.D.)

  • Dental Associates of Arlington, 22, Mill Street, Alta Brigham Square, Arlington, Middlesex County, Massachusetts, 02476, United States

    SUITE 004

    ARLINGTON, MA 024764784

    Phone: (781) 646-0500

    Fax: (781) 646-7130

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-03-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040322001352IClinical PsychologistMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes8514$0
90832Psychotherapy, 30 minutes5114$0
96137Administration of psychological or neuropsychological test, each additional 30 minutes4915$0
90791Psychiatric diagnostic evaluation2121$0
96132Evaluation of neuropsychological test, first hour1515$0
View full utilization report →

Insurance plans in this area (ZIP 02476)

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Provider's Procedures

DR. GARY GOLDMAN (PSY.D.) performs procedures in CLINICAL PSYCHOLOGIST. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHOLOGIST, CLINICALMA96118Neuropsychological testing, interpretation, and report by psychologist or physician per hour6915

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991763823View full group profile

Reviews

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Frequently asked questions

How do I look up DR. GARY GOLDMAN (PSY.D.) by NPI?
Use NPI 1841251204 when you need to reference DR. GARY GOLDMAN (PSY.D.) in forms, claims, or directories.
Does this profile mean DR. GARY GOLDMAN (PSY.D.) is currently active?
Yes — DR. GARY GOLDMAN (PSY.D.) appears active in the national provider directory.
What kind of provider is DR. GARY GOLDMAN (PSY.D.)?
The page reflects Clinical Neuropsychologist for DR. GARY GOLDMAN (PSY.D.). Clinical services aligned with this taxonomy classification.
Does DR. GARY GOLDMAN (PSY.D.) practice in Massachusetts?
You will see Arlington, Massachusetts on file for DR. GARY GOLDMAN (PSY.D.) alongside any extra practice locations.
Is DR. GARY GOLDMAN (PSY.D.) a real provider?
This page reflects official NPPES data for NPI 1841251204. Always confirm identity and privileges with the practice and licensing boards.

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