Organization Active NPI

Goodwin Behavioral Consultants, LLC

  • Psychologist
  • Rodney, MI
National Provider Identifier
1033976253
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
GOODWIN BEHAVIORAL CONSULTANTS, LLC
Practice address
8954 Hidden Harbor Dr
Rodney, MI 49342-9529
Phone
(517) 505-2520
NPI assigned
Mar 4, 2024
Last updated
Apr 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
Ms. Brandy Kaye Goodwin, LLPNPI 1538352869
Title
Behavioral Therapist
Phone
(517) 505-2520

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

8954 Hidden Harbor Dr
Rodney, MI 49342-9529

Mailing address

8954 Hidden Harbor Dr
Rodney, MI 49342-9529
Phone (517) 505-2520

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1033976253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8954 HIDDEN HARBOR DR",
            "city": "RODNEY",
            "state": "MI",
            "postal_code": "493429529",
            "telephone_number": "517-505-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8954 HIDDEN HARBOR DR",
            "city": "RODNEY",
            "state": "MI",
            "postal_code": "493429529",
            "telephone_number": "517-505-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWIN BEHAVIORAL CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "BEHAVIORAL THERAPIST",
        "authorized_official_telephone_number": "517-505-2520",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LLP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rodney, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.