Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenneth J Goldberg, EDD

Individual provider Psychologist · NPI 1336104512

Kenneth J Goldberg, EDD is a Clinical Psychologist in Tempe, Arizona. Qualified in 1982, 44 years ago. Offers telehealth. Licensed in Arizona.

Years since qualifying
44
Licensed in
AZ
In the registry since
2006
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.

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Practice location Address checks out

600 E Baseline Rd Ste C-1
Tempe, AZ 85283-1247
Phone: (602) 264-4600
Fax: (602) 264-7325
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 1045 (AZ)

Record details

NPI number1336104512
Entity typeIndividual (Type 1)
GenderMale
Credentials EDD
Sole proprietorNo
NPI enumeratedApril 19, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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