Active NPI
David Michael Good, M.D.
- Psychiatry Physician
- Montrose, CO
National Provider Identifier
1376674614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 24219
- Practice address
- 715 S 1St St
Montrose, CO 81401-3914 - Phone
- (970) 249-0442
- NPI assigned
- Mar 8, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 24219 | CO | Primary |
Addresses
Primary practice location
715 S 1St St
Montrose, CO 81401-3914
Mailing address
57730 Herman Rd
Olathe, CO 81425-9329
Phone (970) 323-6577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041013001102 | CO | Practitioner - Psychiatry | 6103886247 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24219 | CO | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montrose Psychiatric Nurse Practitioners | Current | Accepting new patients |
Locations
715 S 1st St
Montrose, CO 81401
Phone (970) 249-0442
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Montrose, CO
- NPI 1073770053
-
- Psychiatric/Mental Health Nurse Practitioner
- Montrose, CO
- NPI 1912642588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376674614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57730 HERMAN RD",
"city": "OLATHE",
"state": "CO",
"postal_code": "814259329",
"telephone_number": "970-323-6577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 S 1ST ST",
"city": "MONTROSE",
"state": "CO",
"postal_code": "814013914",
"telephone_number": "970-249-0442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOOD",
"first_name": "DAVID",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "24219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montrose, CO
Sources for this page
- 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; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.