Michelle D Goodman, BS,CADC,CCS,WTS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

37LC0046700 Issued in NJ

Practice address

3007 Kearsarge Rd
Camden, NJ 08104

Phone

(609) 504-9035

Fax

(856) 203-3825

NPI assigned

Mar 25, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1508108895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 KEARSARGE RD",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "08104",
            "telephone_number": "609-504-9035",
            "fax_number": "856-203-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 KEARSARGE RD",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "08104",
            "telephone_number": "609-504-9035",
            "fax_number": "856-203-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "MICHELLE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "BS,CADC,CCS,WTS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC0046700",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37CA00052300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Gonzalez, M.D.
• Jenifer Gonzalez
• Meera Namjoshi Gonzalez, M.D.
• Miriam Gonzalez, MED.
• Michael H Goodman, MD
• Monica Goodman
• Christina L. Goodwin, PHD
• Matthew Goodwin, LPN
• Tamara Goodwin, LPN
• Medha Gopal

• Addiction (Substance Use Disorder) Counselor in Camden, NJ
• Providers in Camden, NJ by specialty
• Addiction (Substance Use Disorder) Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.