Active NPI
Daniel Wintner Goodman, M.D.
- Psychiatry Physician
- New York, NY
National Provider Identifier
1295799732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 186122
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 042214 | CT | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Psychiatry Physician
- New York, NY
- NPI 1689189532
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.