DR. STANLEY M. GOLDSTEIN (PH.D.) – Clinical Psychologist, NPI 1962496463

DR. STANLEY M. GOLDSTEIN (PH.D.) is a healthcare provider. based in Middletown, New York. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 004697-1 (NY). The NPI Number for DR. STANLEY M. GOLDSTEIN (PH.D.) is 1962496463

Main info

Male
Sole Proprietor
53 Years Of Experience
Accepts Medicare Assignment
Name
DR. STANLEY M. GOLDSTEIN (PH.D.)
NPI
1962496463
Phone
(845) 692-0614
Address
1050 ROUTE 211 EAST
Enumeration Date
12 September 2005
Last Update Date
19 September 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8456920614
Graduation Year
1973 (53 years ago)
PAC ID
6305737461
Professional Enrollment ID
I20041206001150
Address ID
NY109413726MI1050XEXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

2,462 CLINICAL PSYCHOLOGIST in NY

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Provider Addresses for DR. STANLEY M. GOLDSTEIN (PH.D.)

  • Middletown Honda, 520, Route 211 East, City of Middletown, Town of Wallkill, Orange County, New York, 10941, United States

    P.O. BOX 4732

    MIDDLETOWN, NY 109418732

    Phone: (845) 692-0614

    Fax: (815) 642-9611

    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: 2004-12-06

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
I20041206001150IClinical PsychologistNYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 10941)

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Reviews

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Frequently asked questions

Does DR. STANLEY M. GOLDSTEIN (PH.D.) have a public NPI I can cite?
Public records show DR. STANLEY M. GOLDSTEIN (PH.D.) under NPI 1962496463.
Is DR. STANLEY M. GOLDSTEIN (PH.D.)'s NPI status active today?
Active status means DR. STANLEY M. GOLDSTEIN (PH.D.)'s NPI record is not deactivated in the public file.
What does the directory say DR. STANLEY M. GOLDSTEIN (PH.D.) does?
Insurance directories may phrase it differently, but here DR. STANLEY M. GOLDSTEIN (PH.D.) maps to Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. STANLEY M. GOLDSTEIN (PH.D.)?
DR. STANLEY M. GOLDSTEIN (PH.D.) shows a connection to Middletown, New York in registry-derived data.
Who maintains DR. STANLEY M. GOLDSTEIN (PH.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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