Tracie M Goodness, PHD
Individual provider Active NPI Clinical Psychologist · Holden, MA
NPI 1427488709 · NPPES record last updated Apr 24, 2025
Key facts
- NPI
- 1427488709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 11592 (MA)
- Practice address
- 800 Main St
Holden, MA 01520-1838 - Phone
- (508) 797-7110
- NPI assigned
- Nov 22, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Labyrinth Psychological Services, P.C.
Practice addresses (Care Compare)
800 Main St
Holden, MA 01520-1838
Phone (508) 797-7110
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220215002349 | MA | Practitioner - Clinical Psychologist | 3072906031 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11592 | MA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The General Hospital Corporation | Current |
Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Current |
Accepting new patients | |
| Labyrinth Psychological Services, P.C. | Clinical | Current |
Accepting new patients |
Locations
55 Fruit St
Boston, MA 02114
55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967
800 Main St
Holden, MA 01520
Phone (508) 797-7110
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 11592 | MA | |
| Clinical Psychologist | 103TC0700X | 11592 | MA | Yes |
Addresses
Primary practice location
800 Main St
Holden, MA 01520-1838
Mailing address
800 Main St
Holden, MA 01520-1838
Other providers in Holden, MA
- Colin Gartner
- Michelle N Gauvin
- Jordan Geyster
- Robert M Giasi
- Sunita N Godiwala
- Guiding Path Care Solutions LLC
- John P. Gusha
- Maeghen Hackett
- Karen Hancock
- Stephanie Anne Hartman
All providers in Holden, MA · Clinical Psychologist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.