Active NPI
Sara M Goodin, M.A., L.P.A.
- Psychologist
- Radcliff, KY
National Provider Identifier
1144567348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1011
- Practice address
- 3909 S Wilson Rd
Radcliff, KY 40160-8944 - Phone
- (270) 351-9444
- NPI assigned
- Jan 8, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1011 | KY | Primary |
Addresses
Primary practice location
3909 S Wilson Rd
Radcliff, KY 40160-8944
Mailing address
3909 S Wilson Rd
Radcliff, KY 40160-8944
Phone (270) 351-9444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1011 | KY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357603200000",
"number": "1144567348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3909 S WILSON RD",
"city": "RADCLIFF",
"state": "KY",
"postal_code": "401608944",
"telephone_number": "270-351-9444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3909 S WILSON RD",
"city": "RADCLIFF",
"state": "KY",
"postal_code": "401608944",
"telephone_number": "270-351-9444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODIN",
"first_name": "SARA",
"middle_name": "M",
"credential": "M.A., L.P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-08",
"last_updated": "2013-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KY",
"license": "1011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Radcliff, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.