Jeffrey S Goodman PHD, PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

JEFFREY S GOODMAN PHD, PC

Practice address

355 Crawford St
Suite 804
Portsmouth, VA 23704-2816

Phone

(757) 397-4394

Fax

(757) 393-3990

NPI assigned

Jan 8, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Samuel Goodman, PH.D.

Title

Licensed Clinical Psychologist

Phone

(757) 397-4394

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1235476490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 CRAWFORD ST",
            "address_2": "SUITE 804",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042816",
            "telephone_number": "757-397-4394",
            "fax_number": "757-393-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 CRAWFORD ST",
            "address_2": "SUITE 804",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042816",
            "telephone_number": "757-397-4394",
            "fax_number": "757-393-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY S GOODMAN PHD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-08",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "757-397-4394",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jo-Davy Andre Jauregui
• Christopher William Jayne, MD
• Lindsay Jane Jayne, DDS, MS
• JB Martin IV DDS PC
• Lisa Eleanor Jefferson, D.O.
• Rebekah Lynn Jeffrey
• Veneeca Jeffries
• Jencare Neighborhood Medical Victory, LLC
• Jenkins Dental Group
• Bryson Reed Jenkins, DO

• Clinical Psychologist in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.