Active NPI
Elizabeth Whitney Goodell, PH.D.
- Clinical Neuropsychologist
- Ipswich, MA
National Provider Identifier
1013178995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 7259
- Practice address
- 2 N Main St
Ipswich, MA 01938-2215 - Phone
- (978) 356-3989
- Fax
- (978) 356-7382
- NPI assigned
- Jun 23, 2008
- Last updated
- Jun 23, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 7259 | MA | Primary |
Addresses
Primary practice location
2 N Main St
Ipswich, MA 01938-2215
Mailing address
2 N Main St
PO Box 867
Ipswich, MA 01938-2215
Phone (978) 356-3989
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190408000391 | MA | Practitioner - Clinical Psychologist | 9436490158 | Practice locations: Topsfield, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1991
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
462 Boston St
Suite 7
Topsfield, MA 01983-1200
Phone (978) 518-7173
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7259 | MA | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214179200000",
"number": "1013178995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 N MAIN ST",
"address_2": "PO BOX 867",
"city": "IPSWICH",
"state": "MA",
"postal_code": "019382215",
"telephone_number": "978-356-3989",
"fax_number": "978-356-7382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 N MAIN ST",
"city": "IPSWICH",
"state": "MA",
"postal_code": "019382215",
"telephone_number": "978-356-3989",
"fax_number": "978-356-7382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODELL",
"first_name": "ELIZABETH",
"middle_name": "WHITNEY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-23",
"last_updated": "2008-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MA",
"license": "7259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ipswich, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.