Individual provider Active NPI

Seyigbena Elvire Imelda Goito, MD

  • Behavior Technician
  • Columbia, MD
National Provider Identifier
1154106532
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
7090 Samuel Morse Dr
Columbia, MD 21046-3442
Phone
(888) 344-5977
NPI assigned
Aug 25, 2023
Last updated
Oct 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X NU
Behavior Technician 106S00000X NU Primary

Addresses

Primary practice location

7090 Samuel Morse Dr
Columbia, MD 21046-3442

Mailing address

9411 Wellington St
Lanham, MD 20706-3420
Phone (301) 281-1744

Other practice location 1

3417 18th St NE
Washington, DC 20018-2721
Phone (202) 629-2917

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
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley & Associates, LLC CurrentSince Sep 1, 2023 Accepting new patients
Bradley & Associates, LLC CurrentSince Sep 1, 2023 Accepting new patients

Locations

3417 18th St NE
Washington, DC 20018
Phone (202) 629-2917

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1154106532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9411 WELLINGTON ST",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063420",
            "telephone_number": "301-281-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7090 SAMUEL MORSE DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210463442",
            "telephone_number": "888-344-5977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3417 18th St NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200182721",
            "country_code": "US",
            "telephone_number": "202-629-2917",
            "fax_number": "202-629-2797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOITO",
        "first_name": "SEYIGBENA",
        "middle_name": "ELVIRE IMELDA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-25",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.