1598988537 NPI number — DR. CAROL JANE GOLDEN-SCADUTO PSYD

Table of content: DR. CAROL JANE GOLDEN-SCADUTO PSYD (NPI 1598988537)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598988537 NPI number — DR. CAROL JANE GOLDEN-SCADUTO PSYD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GOLDEN-SCADUTO
Provider First Name:
CAROL
Provider Middle Name:
JANE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PSYD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GOLDEN-SCADUTO
Provider Other First Name:
CAROL
Provider Other Middle Name:
JANE
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PSYD
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1598988537
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
211 E 53RD ST
Provider Second Line Business Mailing Address:
SUITE 2AB
Provider Business Mailing Address City Name:
NEW YORK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10022-4803
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
212-319-1914
Provider Business Mailing Address Fax Number:
212-319-1914

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
211 E 53RD ST
Provider Second Line Business Practice Location Address:
SUITE 2AB
Provider Business Practice Location Address City Name:
NEW YORK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10022-4803
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
212-319-1914
Provider Business Practice Location Address Fax Number:
212-319-1914
Provider Enumeration Date:
04/10/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TC0700X , with the licence number:  010303 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com