Individual provider Active NPI

Margaret A. Goodwin, PHD, LPCMH, LCPC

  • Clinical Psychologist
  • Millsboro, DE
National Provider Identifier
1285750034
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
B1-0000877 Issued in DE
Practice address
32711 Long Neck Road
Cedar Tree Medical Center
Millsboro, DE 19966
Phone
(302) 561-0290
NPI assigned
Mar 22, 2007
Last updated
Feb 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X B1-0000877 DE
Clinical Psychologist 103TC0700X B1-0000877 DE Primary

Addresses

Primary practice location

32711 Long Neck Road
Cedar Tree Medical Center
Millsboro, DE 19966

Mailing address

15 Dogwood Dr
Harbeson, DE 19951-9484
Phone (302) 562-0025

Other identifiers 3

IdentifierTypeStateIssuer
LC2405OtherMDLCPC
PC-0000456OtherDELPCMH
B1-0000877OtherDELICENSE IN PSYCHOLOGY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110621000116 DE Practitioner - Clinical Psychologist 3173701216 Practice locations: Harbeson, DE; Millsboro, DE

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Marymount University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15 Dogwood Dr
Harbeson, DE 19951-9484
Phone (302) 561-0290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Henlopen Psychological Services Clinical PastSince Feb 17, 2011 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1285750034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 DOGWOOD DR",
            "city": "HARBESON",
            "state": "DE",
            "postal_code": "199519484",
            "telephone_number": "302-562-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32711 LONG NECK ROAD",
            "address_2": "CEDAR TREE MEDICAL CENTER",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "19966",
            "telephone_number": "302-561-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "MARGARET",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PHD, LPCMH, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "DE",
            "license": "B1-0000877",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DE",
            "license": "B1-0000877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCPC",
            "identifier": "LC2405",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPCMH",
            "identifier": "PC-0000456",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE IN PSYCHOLOGY",
            "identifier": "B1-0000877",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millsboro, DE

Sources for this page

Verify at the official NPI Registry.