William Alfred Goodman, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

042-0000722 Issued in VT

Practice address

160 Benmont Ave
Suite 25
Bennington, VT 05201-1873

Phone

(802) 447-7577

Fax

(802) 447-2676

NPI assigned

Sep 2, 2005

Last updated

Mar 27, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Neurological Consultants, P.C.

  • Neurology Physician
  • Bennington, VT
  • NPI 1386747335
  NPD (past)
• Berkshire Care Inc

  • Cardiovascular Disease Physician
  • Pittsfield, MA
  • NPI 1770792673
  NPD (past)
• Neurological Diagnostic and Treatment Center Inc

  • Neurology Physician
  • Pittsfield, MA
  • NPI 1942311949
  NPD (past)
• Siracusa Associates Behavioral Health LLC

  • Community/Behavioral Health Agency
  • Williamstown, MA
  • NPI 1629529011
  NPD (past)
• Williamstown Behavioral Health Associates

  dba Sullivan Associates Behavioral Health

  • Psychologist
  • North Adams, MA
  • NPI 1417023672
  NPD (past)

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238112000000",
    "number": "1407840648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 BENMONT AVE",
            "address_2": "SUITE 25",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052011873",
            "telephone_number": "802-447-7577",
            "fax_number": "802-447-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 BENMONT AVE",
            "address_2": "SUITE 25",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052011873",
            "telephone_number": "802-447-7577",
            "fax_number": "802-447-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "WILLIAM",
        "middle_name": "ALFRED",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2009-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VT",
            "license": "042-0000722",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "4767",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0522325",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN1788",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorenzo Gillette
• Leslie Glazer, PH.D. LMHC
• Tonia Goddard, PTA
• Cynthia Gogan, LCMHC
• Alix Goldschmidt, LICSW
• Deirdre Goodwin, LADC
• David M Gorson, MD
• John Calvin Gower, CAA
• Clarence Paul Graether, PA-C
• Green Mountain Emdr and Psychotherapy, PLLC (Heidi Peterson, LICSW)

• Psychologist in Bennington, VT
• Providers in Bennington, VT by specialty
• Psychologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.