Janice Hansen Goodman, PHD, APRN, BC

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

163553 Issued in MA

Practice address

599 North Avenue
Wakefield, MA 01801

Phone

(781) 775-4963

NPI assigned

Dec 11, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Aug 31, 2021 through Aug 31, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306906136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 MYSTIC VALLEY PKWY",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018902936",
            "telephone_number": "781-775-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 NORTH AVENUE",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "01801",
            "telephone_number": "781-775-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "JANICE",
        "middle_name": "HANSEN",
        "name_prefix": "Dr.",
        "credential": "PHD, APRN, BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MA",
            "license": "163553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Ann Goforth
• Shammi Gohel, M.S., CCC, SLP
• Jenna Alana Goldman-Macfail, OTD, OTR/L
• Gehad Ashraf Gomaa, BCABA
• Bronwyn Goode
• Shauna Gorham
• Elena Gorlovsky, M.D.
• John J. Gorvin, PSY.D.
• Jessica Goulart, PMHNP-BC, FNP-C
• Kristen Lee Graham

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Wakefield, MA
• Providers in Wakefield, MA by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.