Active NPI
Kolin Diane Good, M.D.
- Psychiatry Physician
- West Reading, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD063805L
- Practice address
- 6TH & Spruce Streets
Reading Hospital
West Reading, PA 19611 - Phone
- (484) 628-8070
- Fax
- (484) 628-5289
- NPI assigned
- Jul 12, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD063805L | PA | Primary |
Addresses
Primary practice location
6TH & Spruce Streets
Reading Hospital
West Reading, PA 19611
Mailing address
50 Commerce Dr
Wyomissing, PA 19610-3335
Phone (610) 372-8044
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 434704 | Other | PA | BLUE SHIELD |
| P00213532 | Other | PA | RAILROAD MEDICARE |
| 297502000 | Other | PA | MIS |
| 0071731000 | Other | PA | PERSONAL CHOICE |
| 001757463 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Medical University of South Carolina College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2201 Ridgewood Rd
Suite 400
Wyomissing, PA 19610-1193
Phone (610) 378-9601
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD063805L | PA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tower Health Medical Group | Current | Accepting new patients | |
| DGR Management Inc. | Current | Accepting new patients | |
| Tower Health Medical Group | Current | Accepting new patients | |
| Penn Psychiatric Center Inc | Past | Accepting new patients | |
| Collegeville Psychological Center Inc | Psychiatry | Past | Accepting new patients |
| Vericare of Pennsylvania, P.C. | Psychiatry | Past | Accepting new patients |
| The Neuropsychiatric Group | Psychiatry | Past | Accepting new patients |
| Reading Hospital | Psychiatry | Past | Accepting new patients |
Locations
301 S 7th Ave
Ste 130
West Reading, PA 19611
Phone (610) 988-4630
6 Spruce St
West Reading, PA 19611
Phone (484) 628-8269
560 Van Reed Rd
Ste 301
Wyomissing, PA 19610
Phone (610) 378-9601
2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127
2201 Ridgewood Rd
Ste 400
Wyomissing, PA 19610
Phone (610) 378-9601
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GEDIBA
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Reading Health Rehabilitation Hospital Transitional Sub-Acute Unit | Skilled nursing facility | Corporate Officer | Jan 1, 2022 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
Organizations & group practices 8
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366848000000",
"number": "1235164658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 COMMERCE DR",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196103335",
"telephone_number": "610-372-8044",
"fax_number": "484-334-7026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6TH & SPRUCE STREETS",
"address_2": "READING HOSPITAL",
"city": "WEST READING",
"state": "PA",
"postal_code": "19611",
"telephone_number": "484-628-8070",
"fax_number": "484-628-5289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOOD",
"first_name": "KOLIN",
"middle_name": "DIANE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2013-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD063805L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "434704",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00213532",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIS",
"identifier": "297502000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "0071731000",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001757463",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Reading, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.