Robert Macy Goodman, M.A., M.S.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

047-0000429 Issued in VT

Practice address

35 Timber LN
South Burlington, VT 05403-5201

Phone

(802) 651-7562

Fax

(802) 860-3613

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Master of Science, Doctor of Philosophy

State licenses

Practice roles

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.

• Frank Carruth, Inc.

  • Clinical Social Worker
  • South Burlington, VT
  • NPI 1316071517
  NPD (past)
• Sally Edith PC

  • Mental Health Counselor
  • South Burlington, VT
  • NPI 1861585382
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1154418663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 LOST NATION RD",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054522428",
            "telephone_number": "802-879-0439",
            "fax_number": "802-860-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 TIMBER LN",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054035201",
            "telephone_number": "802-651-7562",
            "fax_number": "802-860-3613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "ROBERT",
        "middle_name": "MACY",
        "name_prefix": "Mr.",
        "credential": "M.A., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VT",
            "license": "047-0000429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002609",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Casey Goldman, LCMHC
• Johanna Powden Golston, RN, NP
• Goodhealth Diagnostic Center, Inc.
• Goodhealth P.C.
• Goodhealth, P.C.
• Joanna Gould, LADC,LCMHC
• Tyler James Gould, PHD
• Ryan James Gouvin
• Jason Gramling, MD
• Brittany Granara, APRN (NP)

• All providers in South Burlington, VT
• Psychologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.