# GOLDBERG CONSULTING GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184145047
- **Authorized official:** DR. KENNETH J. GOLDBERG ED.D. (100 OWNER/PRESIDENT)
- **Authorized official phone:** (480) 831-0746

## Contact information

- **Practice address:** 600 EAST BASELINE ROAD, SUITE C-1, TEMPE, AZ 85283-1247
- **Practice address phone:** (480) 831-0746
- **Practice address fax:** (480) 777-8521
- **Mailing address:** 600 EAST BASELINE ROAD, SUITE C-1, TEMPE, AZ 85283-1267
- **Mailing address phone:** (480) 831-0746
- **Mailing address fax:** (480) 777-8521

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC0700X | Clinical Psychologist | 1045 | AZ | — |
| 103TC1900X | Counseling Psychologist | 1045 | AZ | — |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 1045 | AZ | Yes |
| 103TF0000X | Family Psychologist | 1045 | AZ | — |

## Other

- **Enumeration date:** 06/30/2017
- **Last updated:** 06/30/2017