Shelley Z Goodman

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS006393L Issued in PA

Legal business name

SHELLEY Z GOODMAN

Practice address

7401 Old York Rd
Elkins Park, PA 19027-3005

Phone

(215) 782-1297

Fax

(215) 754-0999

NPI assigned

May 19, 2016

Organization subpart

No

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

Authorized official

Name

Shelley Z GoodmanNPI 1194875575

Title

Psychologist

Phone

(215) 782-1297

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Shelley Z Goodman, PHD

  • Psychologist
  • Elkins Park, PA
  • NPI 1194875575
  NPD (past) Authorized official

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1427405463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7857 SPRING AVE",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272619",
            "telephone_number": "215-782-1297",
            "fax_number": "215-754-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 OLD YORK RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190273005",
            "telephone_number": "215-782-1297",
            "fax_number": "215-754-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLEY Z GOODMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "215-782-1297"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS006393L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012744970001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Wayne Serianni, MS, CCC-SLP
• Deborah D Shain, MSS LCSW BCD
• Sitara Shanmugam, PSYD
• Jaelyn Lou Shaver, PA-C
• Alexandrina Rosita Shaw, OTRL
• Shelley Z Goodman PHD
• Hongxie Shen, MD
• Yoon Kyung Shim, L.AC
• Sebastian Seunghoon Shin, D.C.
• Matthew Shore, D.O.

• Psychologist in Elkins Park, PA
• Providers in Elkins Park, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.