Goodman Addiction Services

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1400 Issued in ND

Legal business name

GOODMAN ADDICTION SERVICES

Practice address

1809 South Broadway Suite S.
Minot, ND 58701

Phone

(701) 852-3869

Fax

(701) 852-9024

NPI assigned

Apr 20, 2018

Organization subpart

No

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

Authorized official

Name

Dina Padilla Goodman, MS, LAC

Title

Lac/Ceo

Phone

(701) 833-5767

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524182400000",
    "number": "1073000469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 SOUTH BROADWAY SUITE. S",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "58701",
            "telephone_number": "701-852-3869",
            "fax_number": "701-852-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 SOUTH BROADWAY SUITE S.",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "58701",
            "telephone_number": "701-852-3869",
            "fax_number": "701-852-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODMAN ADDICTION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2018-04-20",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "DINA",
        "authorized_official_middle_name": "PADILLA",
        "authorized_official_title_or_position": "LAC/CEO",
        "authorized_official_telephone_number": "701-833-5767",
        "authorized_official_credential": "MS, LAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ND",
            "license": "1400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aastha Gohil, MD
• Robert Campbell Gokey, M.D.
• Susan F Gokey, MD
• Maria Consuelo Gonzales, FNP-C
• Nancy L Gooch
• Dina P Goodman, LAC
• Kallie Nicole Goodman, FNP-C
• Sage Goodman
• Emily W Gorman, M.P.T.
• Gayle Gorseth

• Addiction (Substance Use Disorder) Counselor in Minot, ND
• Providers in Minot, ND by specialty
• Addiction (Substance Use Disorder) Counselor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.