Goodwill Industries of Western Connecticut, Inc.

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

GOODWILL INDUSTRIES OF WESTERN CONNECTICUT, INC.

Practice address

165 Ocean Ter
Bridgeport, CT 06605-2719

Phone

(203) 368-6511

Fax

(203) 335-9326

NPI assigned

Sep 20, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. David Turner

Title

President/Ceo

Phone

(203) 368-6511

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013902626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 OCEAN TER",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066052719",
            "telephone_number": "203-368-6511",
            "fax_number": "203-335-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 OCEAN TER",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066052719",
            "telephone_number": "203-368-6511",
            "fax_number": "203-335-9326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF WESTERN CONNECTICUT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "203-368-6511",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly C. Goode, APRN
• Taylor Marie Goode, LPCA
• Jenee Cymone Gooden, DPM
• Lindsay Lauren Goodman, M.D.
• Christie Spencer Goodwick, MSW
• Jacqueline Goodwin, OTR/L
• Shannon Burke Gorton, PA-C, MMS
• Goss Health Care
• Bennett S Goss, MD
• Jennifer Mieko Goto, ND

• Voluntary or Charitable Agency in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Voluntary or Charitable Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.