Goodwill Industries of the Springfield/Hartford Area, Inc.

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

Legal business name

GOODWILL INDUSTRIES OF THE SPRINGFIELD/HARTFORD AREA, INC.

Practice address

475 Sumner Ave
Springfield, MA 01108-2321

Phone

(413) 788-6984

Fax

(413) 304-2682

NPI assigned

Feb 26, 2009

Organization subpart

No

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

Authorized official

Name

Steven Mundahl

Title

President

Phone

(413) 788-6984

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1033359344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 SUMNER AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011082321",
            "telephone_number": "413-788-6984",
            "fax_number": "413-304-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 SUMNER AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011082321",
            "telephone_number": "413-788-6984",
            "fax_number": "413-304-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL INDUSTRIES OF THE SPRINGFIELD/HARTFORD AREA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "MUNDAHL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-788-6984"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MA",
            "license": "RN20578",
            "primary": false
        },
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlie Goodreau
• Colleen Goodreau
• Marion Gertude Goodrich, ARPN
• Derek Anthony Goodrow
• Lindsey Anne Goodrow, NP
• Cristin Goodwin, M.S.
• Michael W Goodwin, ED.D
• Myra Goodwin, LICSW
• Kezia Gopaul-Knights
• Varaha S Gopisetti, M.D.

• Foster Care Agency in Springfield, MA
• Providers in Springfield, MA by specialty
• Foster Care Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; 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.