Doreen Goodgame

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA11276 Issued in FL

Practice address

10158 Stonehenge Cir Apt 802
Boynton Beach, FL 33437-3546

Phone

(954) 816-2974

NPI assigned

Jun 19, 2023

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: doreen.goodgame@carebridgehealth.com

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1144905100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10158 STONEHENGE CIR APT 802",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373546",
            "telephone_number": "954-816-2974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10158 STONEHENGE CIR APT 802",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334373546",
            "telephone_number": "954-816-2974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODGAME",
        "first_name": "DOREEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA11276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Doreen.Goodgame@carebridgehealth.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "926 Main St",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372063614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Doreen.Goodgame@carebridgehealth.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10158 Stonehenge Cir Apt 802",
            "city": "Boynton Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334373546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jesus Camilo Gonzalez
• Katrina Gonzalez, DMD
• Michelle Lee Gonzalez, ITDS
• Natali Gonzalez
• Yanet Laura Gonzalez
• Laurie Goodman-Rothlein, M.A., CCC-SLP
• David A Goodmanson, RPH
• Jeanette Marie Goodmanson
• Ramprasad Gopalan, MD
• Ariel Esther Gordon, D.O.

• Occupational Therapy Assistant in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.