Goodwill Easter Seals Minnesota

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GOODWILL EASTER SEALS MINNESOTA

Practice address

553 Fairview Ave N
Saint Paul, MN 55104-1708

Phone

(651) 379-5800

Fax

(651) 379-5804

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Boyd A. Brown

Title

Workforce Development Manager

Phone

(651) 379-5800

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ericka Lanelle Bassey, LICSW

  • Clinical Social Worker
  • St. Paul, MN
  • NPI 1730499310
  NPD (past)
• Lowell J Meyer, LICSW

  • Clinical Social Worker
  • Saint Paul, MN
  • NPI 1932254919
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376759647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 FAIRVIEW AVE N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551041708",
            "telephone_number": "651-379-5800",
            "fax_number": "651-379-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 FAIRVIEW AVE N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551041708",
            "telephone_number": "651-379-5800",
            "fax_number": "651-379-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL EASTER SEALS MINNESOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BOYD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "WORKFORCE DEVELOPMENT MANAGER",
        "authorized_official_telephone_number": "651-379-5800"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Goodier, MD
• Aviel Goodman, M.D.
• Meghan Goodman, RD
• Warren T Goodman, MD
• Maxwell Goodmanson
• Jessica Goodwin
• Joshua Hampton Goodwin, MSW, LICSW
• Matthew Goodwin, MA, LMHCA
• Elise Gi-Ae Gooi
• Brian Thomas Gooley, MD

• Community/Behavioral Health Agency in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.