Individual provider Active NPI

Goosman Saintil

  • Developmental Disabilities Clinic/Center
  • Port Saint Lucie, FL
National Provider Identifier
1437790060
Registry record updated Oct 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Practice address
10497 SW Tibre CT
Port Saint Lucie, FL 34987-2347
Phone
(772) 626-7531
NPI assigned
Oct 4, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

10497 SW Tibre CT
Port Saint Lucie, FL 34987-2347

Mailing address

10497 SW Tibre CT
Port Saint Lucie, FL 34987-2347
Phone (772) 626-7531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1437790060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10497 SW TIBRE CT",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349872347",
            "telephone_number": "772-626-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10497 SW TIBRE CT",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349872347",
            "telephone_number": "772-626-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAINTIL",
        "first_name": "GOOSMAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-04",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.