Active NPI
Joseph William Goodwin
- Behavior Analyst
- Yonkers, NY
National Provider Identifier
1275139461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 004047
- Practice address
- 369 Grandview Blvd
Yonkers, NY 10710-1918 - Phone
- (917) 371-8357
- NPI assigned
- Dec 11, 2020
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 004047 | NY | Primary |
Addresses
Primary practice location
369 Grandview Blvd
Yonkers, NY 10710-1918
Mailing address
100 Park Ave PH 8C
Fort Lee, NJ 07024-3806
Phone (435) 640-6672
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004047 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743465600000",
"number": "1275139461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 PARK AVE PH 8C",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070243806",
"telephone_number": "435-640-6672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "369 GRANDVIEW BLVD",
"city": "YONKERS",
"state": "NY",
"postal_code": "107101918",
"telephone_number": "917-371-8357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODWIN",
"first_name": "JOSEPH",
"middle_name": "WILLIAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-11",
"last_updated": "2025-04-01",
"certification_date": "2025-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "004047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.