Individual provider Active NPI

Matthew Boyar Goodman, PSY.D.

  • Clinical Psychologist
  • New Bedford, MA
National Provider Identifier
1033217088
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
7210 Issued in MA
Practice address
106 Spring St
New Bedford, MA 02740-5951
Phone
(508) 993-2003
Fax
(508) 993-2003
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 7210 MA Primary

Addresses

Primary practice location

106 Spring St
New Bedford, MA 02740-5951

Mailing address

106 Spring St
New Bedford, MA 02740-5951
Phone (508) 993-2003

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040225000658 MA Practitioner - Clinical Psychologist 4385530443 Practice locations: New Bedford, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

106 Spring St
New Bedford, MA 02740-5939

106 Spring St
New Bedford, MA 02740-5951
Phone (508) 993-2003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7210MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan H Schwartz MD, PLLC PastSince Jan 26, 2025 Accepting new patients
Southshore TMS LLC PastSince Feb 2, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1033217088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 SPRING ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027405951",
            "telephone_number": "508-993-2003",
            "fax_number": "508-993-2003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 SPRING ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027405951",
            "telephone_number": "508-993-2003",
            "fax_number": "508-993-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "MATTHEW",
        "middle_name": "BOYAR",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "7210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

Verify at the official NPI Registry.