Goodwill Keystone Area

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

GOODWILL KEYSTONE AREA

Practice address

1150 Goodwill Dr
Harrisburg, PA 17101-2400

Phone

(717) 232-1831

NPI assigned

Sep 23, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Ronald Kratofil

Title

Ceo

Phone

(717) 232-1831

Specialties & licenses 4

Addresses

Tax ID family

Goodwill Industries of Central PA Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Goodwill Industries of Central PA, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Harrisburg, PA
  • NPI 1154530194
  NPD tax ID

Locations

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1437608148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 GOODWILL DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171012400",
            "telephone_number": "717-232-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 GOODWILL DR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171012400",
            "telephone_number": "717-232-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWILL KEYSTONE AREA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "KRATOFIL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "717-232-1831",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lillian Jean Goodkind, LCSW
• Alyson Kolber Goodman, O.T.
• Jay Henry Goodman, PH.D
• Robert A Goodman, M.D.
• Goodwill Industries of Central PA, Inc.
• Vishhvaan Gopalakrishnan, MD MSE
• Briana Gordon, BSL, MA
• James Gordon, CRNP
• Joanne G Gordon, MD
• Madalyn Allyn Gordon

• Developmentally Disabled Services Day Training Agency in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Developmentally Disabled Services Day Training Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.