Keith Golin Phd LLC
Keith Golin Phd LLC is a healthcare organization registered as Clinical Psychologist in West Orange, NJ, holding Type 2 (organization) NPI 1487660213 since 2006. The authorized official on file is Keith Golin, Clinical Psychologist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1487660213 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Keith Golin Phd LLC |
| Other name | <Unavail> |
| Practice address | 659 EAGLE ROCK AVE STE 4, West Orange, NJ, 07052 |
| Phone | 8882842034 |
| Fax | 9739924639 |
| Enumeration date | 2006-08-01 |
| Last updated in NPPES | 2021-05-24 |
Authorized official
| Name | Keith Golin |
|---|---|
| Title | Clinical Psychologist |
| Phone | 9739924639 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 103TC0700X | Clinical Psychologist | Secondary | — | — |
| 103TC0700X | Clinical Psychologist | Primary | 35S100409900 | NJ |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0114065 | Medicaid | NJ | — |
| 02330954 | Medicaid | NY | — |
| 6102096 | Other | NJ | EVERCARE |
Copy-ready billing details
Provider: Keith Golin Phd LLC NPI: 1487660213 Taxonomy: 103TC0700X (Clinical Psychologist) Address: 659 EAGLE ROCK AVE STE 4, West Orange, NJ, 07052
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1245714443 | Life Enhancement Center of North Jersey LLC | Organization | Clinical Psychologist | West Orange, NJ |
| 1710638655 | Sonia Illescas | Individual | Clinical Social Worker | West Orange, NJ |
| 1386323947 | Krystal Moir | Individual | Clinical Social Worker | West Orange, NJ |
| 1710666185 | Diane Ashouri | Individual | Mental Health Counselor | West Orange, NJ |
| 1639858533 | Yelinee Guzman Rivera | Individual | Mental Health Counselor | West Orange, NJ |
Verify this record
Cross-check NPI 1487660213 against the authoritative CMS record: view Keith Golin Phd LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-05-24.