Tonya Goodman, APRN-PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

8967 Issued in CT

Practice address

104 Waterbury Rd
Prospect, CT 06712-1253

Phone

(860) 479-1586

NPI assigned

Jul 22, 2020

Sex

Female

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2025 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Restoration Health and Wellness Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Prospect, CT
  • NPI 1952000895

  Psychiatric/Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1134738461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WATERBURY RD",
            "city": "PROSPECT",
            "state": "CT",
            "postal_code": "067121253",
            "telephone_number": "860-479-1586",
            "fax_number": "203-503-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WATERBURY RD",
            "city": "PROSPECT",
            "state": "CT",
            "postal_code": "067121253",
            "telephone_number": "860-479-1586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Bradley Rd",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "CT",
            "postal_code": "065252285",
            "country_code": "US",
            "telephone_number": "203-463-4555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "TONYA",
        "credential": "APRN-PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "8967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Genest, PT, DPT, CSCS
• Karl Benjamin Genovese, MD
• Christy Ann George, LMFT
• Kathleen Golebiewski
• Laurene M. Gomez, L.M.F.T.
• Daniel Griswold Gordon, LMFT
• Alexa Gorman
• Lisa Grabowski, BS
• Greater Waterbury Primary Care Assoc
• Greater Waterbury Retina, LLC

• All providers in Prospect, CT
• Psychiatric/Mental Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.