Individual provider Active NPI

Daniel Wintner Goodman, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1295799732
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
186122 Issued in NY
Practice address
18 E 48TH St RM 1202
New York, NY 10017-1038
Phone
(212) 980-5600
Fax
(212) 682-9008
NPI assigned
Apr 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 042214 CT
Psychiatry Physician 2084P0800X 186122 NY Primary

Addresses

Primary practice location

18 E 48TH St RM 1202
New York, NY 10017-1038

Mailing address

9 Glen Avon Dr
Riverside, CT 06878-2006
Phone (203) 698-2769

Other practice location 1

45 E Putnam Ave Ste 120
Greenwich, CT 06830-5469
Phone (203) 340-9533

Other practice location 2

11 E 68th St
New York, NY 10021-4955
Phone (212) 717-7107

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 19, 2013 through Apr 19, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042214CTMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Midtown Practice for Psychiatry PC Psychiatry Current Accepting new patients

Locations

18 E 48th St
Rm 1202
New York, NY 10017
Phone (212) 286-8801

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1295799732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 GLEN AVON DR",
            "city": "RIVERSIDE",
            "state": "CT",
            "postal_code": "068782006",
            "telephone_number": "203-698-2769",
            "fax_number": "212-717-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 E 48TH ST RM 1202",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171038",
            "telephone_number": "212-980-5600",
            "fax_number": "212-682-9008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 E Putnam Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Greenwich",
            "state": "CT",
            "postal_code": "068305469",
            "country_code": "US",
            "telephone_number": "203-340-9533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 E 68th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100214955",
            "country_code": "US",
            "telephone_number": "212-717-7107",
            "fax_number": "212-717-7197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "DANIEL",
        "middle_name": "WINTNER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "042214",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "186122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.