Sumner Harold Goodman, M.D.
Individual provider Active NPI Psychiatry Physician · Loudonville, NY
NPI 1407956576 · NPPES record last updated Jan 7, 2013
Key facts
- NPI
- 1407956576
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- NY130898 (NY)
- Practice address
- 11 Hills Rd
Loudonville, NY 12211-1320 - Phone
- (518) 782-0722
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NY130898 | NY | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | NY130898 | NY | Yes |
Addresses
Primary practice location
11 Hills Rd
Loudonville, NY 12211-1320
Mailing address
11 Hills Rd
Loudonville, NY 12211-1320
Phone (518) 782-0722
Other providers in Loudonville, NY
- Sonia Elguero
- Denise Marie Farrell
- David Flashover
- Maria Angelica Gana
- Faith Glassman-Awad
- Jill Marie Guarino
- Amy B Hahn
- Sarah Hershey
- Carrie L Hogan
- Margaret Hyland
All providers in Loudonville, NY · Psychiatry Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.