Individual provider Active NPI

Karen Joyce Goodman, PHD

  • Clinical Psychologist
  • Poughkeepsie, NY
National Provider Identifier
1497737944
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
00671701 Issued in NY
Practice address
39 Collegeview Avenue
Poughkeepsie, NY 12603-7203
Phone
(845) 473-8300
Fax
(845) 454-6014
NPI assigned
Nov 18, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 00671701 NY Primary

Addresses

Primary practice location

39 Collegeview Avenue
Poughkeepsie, NY 12603-7203

Mailing address

39 Collegeview Avenue
Poughkeepsie, NY 12603-7203
Phone (845) 473-8300

Other identifiers 1

IdentifierTypeStateIssuer
01661063MedicaidNY

Other names 1

  • Dr. Karen Goodman Perl Former name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
00671701NYMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1497737944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 COLLEGEVIEW AVENUE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126037203",
            "telephone_number": "845-473-8300",
            "fax_number": "845-454-6014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 COLLEGEVIEW AVENUE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126037203",
            "telephone_number": "845-473-8300",
            "fax_number": "845-454-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "KAREN",
        "middle_name": "JOYCE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "00671701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01661063",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "PERL",
            "middle_name": "GOODMAN",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.