Individual provider Active NPI

Jeffrey Howard Goidel, PH.D.

  • Clinical Psychologist
  • Congers, NY
National Provider Identifier
1609822923
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
008917 Issued in NY
Practice address
25 Hemlock Dr
Congers, NY 10920-1401
Phone
(845) 267-0110
Fax
(845) 267-2634
NPI assigned
May 26, 2006
Last updated
Mar 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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 008917 NY Primary

Addresses

Primary practice location

25 Hemlock Dr
Congers, NY 10920-1401

Mailing address

7 Windgate Dr
New City, NY 10956-4434
Phone (845) 638-0198

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110105000746 FL Practitioner - Clinical Psychologist 9133142060 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatric Specialty Center, LLCGroup PAC ID 2961702089, 20 clinicians

Practice addresses (Care Compare)

Boca Raton, FL 33498
Phone (561) 331-3953

1035 S State Rd
7 Suite 209
Wellington, FL 33414-6136
Phone (561) 331-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
008917NYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Goidel & Associates LLC Clinical CurrentSince May 1, 2025 Accepting new patients
Psychiatric Specialty Center LLC CurrentSince Jun 27, 2016 Accepting new patients
Arc Healthresources of Rockland, Inc. Clinical PastSince Jul 17, 2022 Accepting new patients
Mindpath Health Florida, PLLC Clinical Past Accepting new patients
Federation Employment and Guidance Service, Inc Past Accepting new patients

Locations

1035 S State Road 7
Ste 209
Wellington, FL 33414
Phone (561) 331-8800

560 Village Blvd
Ste 150
West Palm Beach, FL 33409
Phone (561) 331-8800

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1609822923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WINDGATE DR",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109564434",
            "telephone_number": "845-638-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HEMLOCK DR",
            "city": "CONGERS",
            "state": "NY",
            "postal_code": "109201401",
            "telephone_number": "845-267-0110",
            "fax_number": "845-267-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOIDEL",
        "first_name": "JEFFREY",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "008917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Congers, NY

Sources for this page

Verify at the official NPI Registry.