Active NPI
Karli Goodman, CRNP
- Psychiatry Physician
- Baltimore, MD
National Provider Identifier
1295349983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- R217698
- Practice address
- 301 Saint Paul PL
Baltimore, MD 21202-2165 - Phone
- (410) 332-9000
- Fax
- (410) 801-3038
- NPI assigned
- Sep 1, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | R217698 | MD | Primary |
Addresses
Primary practice location
301 Saint Paul PL
Baltimore, MD 21202-2165
Mailing address
301 Saint Paul PL
Baltimore, MD 21202-2165
Phone (410) 332-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R217698 | MD | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmony Counceling Center Inc | Current | Accepting new patients | |
| Maryland Family Care, Inc. | Current | Accepting new patients | |
| Gro LLC | Psychiatry | Past | Accepting new patients |
Locations
301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930
7939 Honeygo Blvd
Ste 224
Nottingham, MD 21236
Phone (410) 933-3700
7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Nottingham, MD
- NPI 1861981276
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1598718256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657670400000",
"number": "1295349983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 SAINT PAUL PL",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212022165",
"telephone_number": "410-332-9000",
"fax_number": "410-801-3038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 SAINT PAUL PL",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212022165",
"telephone_number": "410-332-9000",
"fax_number": "410-801-3038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "KARLI",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-01",
"last_updated": "2022-07-13",
"certification_date": "2022-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "R217698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.