Active NPI
Gregory Goodyear
- Social Worker
- Pottstown, PA
National Provider Identifier
1164840336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 929 Willow St
Pottstown, PA 19464-1811 - Phone
- (610) 326-7734
- Fax
- (610) 326-4762
- NPI assigned
- Apr 3, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
929 Willow St
Pottstown, PA 19464-1811
Mailing address
107 N York St Apt 2
Pottstown, PA 19464-5424
Phone (610) 326-7734
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creative Health Services, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Child & Adolescent Psychiatry Physician
- Pottstown, PA
- NPI 1124194121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396483200000",
"number": "1164840336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 N YORK ST APT 2",
"city": "POTTSTOWN",
"state": "PA",
"postal_code": "194645424",
"telephone_number": "610-326-7734",
"fax_number": "610-326-4762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 WILLOW ST",
"city": "POTTSTOWN",
"state": "PA",
"postal_code": "194641811",
"telephone_number": "610-326-7734",
"fax_number": "610-326-4762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODYEAR",
"first_name": "GREGORY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-03",
"last_updated": "2014-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pottstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.