Goodspeed

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

GOODSPEED

Practice address

79 West Ave
Fairport, NY 14450-2152

Phone

(585) 223-6180

Fax

(585) 223-6529

NPI assigned

Sep 17, 2015

Organization subpart

No

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

Authorized official

Name

Paul Graham

Title

Owner

Phone

(585) 223-6180

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1154790368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 WEST AVE",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144502152",
            "telephone_number": "585-223-6180",
            "fax_number": "585-223-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 WEST AVE",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144502152",
            "telephone_number": "585-223-6180",
            "fax_number": "585-223-6529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODSPEED",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-223-6180"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02617045",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Derleth Glathar, RNC BSN
• Jamila Gonzalez, L.M.T.
• Julie Margaret Gonzalez, RN
• Lauren Goodell, DPT
• Julie Ann Files Goodridge, OTR/L
• Sarah J Gordner
• Karen Gould, LMHC, CASAC
• Katherine M. Grady, CMF
• Kelly Graves, LMHC
• Ann D Gray

• Case Management Agency in Fairport, NY
• Providers in Fairport, NY by specialty
• Case Management Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.