Warren Harvey Goodman, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

084220 Issued in NY

Practice address

1 Barstow Road
Suite P 14
Great Neck, NY 11021-3501

Phone

(516) 487-1484

Fax

(516) 487-7804

NPI assigned

Oct 20, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

State University of New York Downstate Medical Center, 1959

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063595528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BARSTOW ROAD",
            "address_2": "SUITE P 14",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213501",
            "telephone_number": "516-487-1484",
            "fax_number": "516-487-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BARSTOW ROAD",
            "address_2": "SUITE P 14",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110213501",
            "telephone_number": "516-487-1484",
            "fax_number": "516-487-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "WARREN",
        "middle_name": "HARVEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "084220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "506211",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Gonsalves
• Gherick Gonzales, DPT
• Aviva Rachel Goodman
• Mitchell H Goodman, R.PH.
• Patricia Elizabeth Goodman, M.S.
• Andrew David Goodwillie, M.D.
• Menherit Goodwyn, DPT
• Edith Philene Goody, DPT
• Elizabeth Claire Goodyear, MHC-LP
• Craig Seth Gootman, PH.D.

• Psychiatry Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.