Midwest Neuropsychological Consultant

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

MIDWEST NEUROPSYCHOLOGICAL CONSULTANT

Practice address

101 N Plaza East Blvd Ste 105
Evansville, IN 47715-2804

Phone

(812) 402-5625

Fax

(812) 402-5627

NPI assigned

Oct 9, 2013

Last updated

Jun 22, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gregory E Goffinet, MDNPI 1821329392

Title

Owner/MD

Phone

(812) 402-5625

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory Goffinet, PSYD

  • Clinical Neuropsychologist
  • Vincennes, IN
  • NPI 1821329392
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1386071207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N PLAZA EAST BLVD STE 105",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152804",
            "telephone_number": "812-402-5625",
            "fax_number": "812-402-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N PLAZA EAST BLVD STE 105",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152804",
            "telephone_number": "812-402-5625",
            "fax_number": "812-402-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST NEUROPSYCHOLOGICAL CONSULTANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-09",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "GOFFINET",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "812-402-5625",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Neuropsychologist in Evansville, IN
• Providers in Evansville, IN by specialty
• Clinical Neuropsychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.