Howard Alan Goodman, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1302 Issued in NH

Practice address

1361 Elm St
Suite # 400
Manchester, NH 03101-1324

Phone

(603) 232-6987

NPI assigned

May 10, 2007

Last updated

Jan 29, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Novus Vita Counseling PLLCGroup PAC ID 1254558711, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Novus Vita Counseling, PLLC

  • Clinical Psychologist
  • Manchester, NH
  • NPI 1497094296

  Mental Health

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1194939967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 ELM ST",
            "address_2": "SUITE # 400",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011324",
            "telephone_number": "603-232-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 ELM ST",
            "address_2": "SUITE # 400",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011324",
            "telephone_number": "603-232-6987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "HOWARD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "630",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NH",
            "license": "1302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3083931",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ricardo Andres Gonzales, MD
• Humberto Gonzalez Rodriguez, BA
• Michelle Stephanie Good, APRN, PMHNP-BC
• Robert Good
• Rebekah Goodfellow, DPT
• William H Goodman, MD
• Kathleen Goodridge
• Cody Domenick Goodwin
• Jamie Frederick Goodwin
• Jennifer Goodwin, BSW

• Clinical Psychologist in Manchester, NH
• Providers in Manchester, NH by specialty
• Clinical Psychologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.