Sean Martin Goodwin

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810005844 Issued in VA

Practice address

11601 Iron Bridge Rd Ste 201
Chester, VA 23831-1468

Phone

(888) 852-1988

NPI assigned

Mar 8, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1063169167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15900 LONGLANDS RD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238322060",
            "telephone_number": "804-661-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 IRON BRIDGE RD STE 201",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311468",
            "telephone_number": "888-852-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "SEAN",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara E Glennon, MD
• Ashley Nicole Glover, LPC
• Megan Jeanne Goff, PA-C
• Rebecca Golub
• Julie Ann Goodman, NP
• Trevene Gordon, M.A, LPC, CSAC
• Vincent M. Gore, M. D.
• Goshen Wellness Center
• Grace, Hope and Love Counseling Services
• Janice Denise Grady, FNP

• Clinical Psychologist in Chester, VA
• Providers in Chester, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.