Sean Goddard, MSN, APRN, PMNHP-C,

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

71008436A Issued in IN

Practice address

9025 Coldwater Rd Ste 100
Fort Wayne, IN 46825-2071

Phone

(260) 459-9225

Fax

(260) 800-1512

NPI assigned

Sep 7, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Viking Psychiatry LLCGroup PAC ID 4385093350, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sgoddard432931@direct.parkviewexchange.com

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.

• Viking Psychiatry LLC

  • Psychiatry Physician
  • Fort Wayne, IN
  • NPI 1184292054

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD Authorized official
• Iris Ketamine & Infusions, LLC

  • Nurse Practitioner
  • Fort Wayne, IN
  • NPI 1598533986
  NPD Authorized official

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1285117143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9025 COLDWATER RD STE 100",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252071",
            "telephone_number": "260-459-9225",
            "fax_number": "260-800-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9025 COLDWATER RD STE 100",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252071",
            "telephone_number": "260-459-9225",
            "fax_number": "260-800-1512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3510 Commerce Dr",
            "address_purpose": "LOCATION",
            "city": "Warsaw",
            "state": "IN",
            "postal_code": "465803925",
            "country_code": "US",
            "telephone_number": "260-459-9225",
            "fax_number": "260-800-1512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODDARD",
        "first_name": "SEAN",
        "credential": "MSN, APRN, PMNHP-C,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-07",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71008436A",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28206231",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71008436A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Yang Gaw Go, OTR
• Goal Setters, Inc
• Meghan Goble
• Goddard Medical Services LLC
• Eric M. Goddard, PA-C
• Robert W Godley, MD
• Jule L. Godsey, LCAC, MMHC
• Goebel Chiropractic
• Harold John Goebel Jr., D.C.
• Jaime Goebel

• Psychiatric/Mental Health Nurse Practitioner in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.