Active NPI
Rebecca Joy Goodman
- Marriage & Family Therapist
- Evanston, IL
National Provider Identifier
1467981217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 440
- Practice address
- 618 Library PL
Evanston, IL 60201-2908 - Phone
- (312) 609-5300
- NPI assigned
- Jun 6, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 440 | AL | Primary |
Addresses
Primary practice location
618 Library PL
Evanston, IL 60201-2908
Mailing address
618 Library PL
Evanston, IL 60201-2908
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 440 | AL | MD | Durable Medical Equipment & Medical Supplies |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496707200000",
"number": "1467981217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 LIBRARY PL",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602012908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 LIBRARY PL",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602012908",
"telephone_number": "312-609-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "REBECCA",
"middle_name": "JOY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-06",
"last_updated": "2017-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AL",
"license": "440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.