Michelle Goodrich

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

565 Benfield Rd Ste 300
Severna Park, MD 21146

Phone

(410) 656-6263

NPI assigned

May 22, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1255868253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 BENFIELD RD STE 300",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211462517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 BENFIELD RD STE 300",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "21146",
            "telephone_number": "410-656-6263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7175 Columbia Gateway Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210462534",
            "country_code": "US",
            "telephone_number": "888-344-5977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODRICH",
        "first_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacalyn Gordon Ginsberg, DO
• Theresa Marie Girolami, L.AC.
• Thomas Milton Godwin, LCPC, LCADC, CCDC
• Ryan Matthew Goldberg, PTA
• Ronald Barry Golkow, PH.D.
• Lauralee Fitzgerald Gordon, OTR
• Elizabeth Gosnell
• Joseph Terence Griffin
• Katherine E Grote, CRNP
• Peter Grube, LCSW-C

• Behavior Analyst in Severna Park, MD
• Providers in Severna Park, MD by specialty
• Behavior Analyst in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.