Active NPI
Joseph Goodman, MS
- School Psychologist
- Huntington, NY
National Provider Identifier
1639685993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 2689677
- Practice address
- 25 Little Plains Rd
Huntington, NY 11743-4550 - Phone
- (516) 428-5811
- Fax
- (516) 428-5811
- NPI assigned
- Dec 22, 2017
- Sex
- Male
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 2689677 | NY | Primary |
Addresses
Primary practice location
25 Little Plains Rd
Huntington, NY 11743-4550
Mailing address
147 Charles St
East Williston, NY 11596-2516
Phone (516) 428-5811
Other practice location 1
25 Little Plains Rd
Huntington, NY 11743-4550
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2689677 | NY | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1639685993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 CHARLES ST",
"city": "EAST WILLISTON",
"state": "NY",
"postal_code": "115962516",
"telephone_number": "516-428-5811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 LITTLE PLAINS RD",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117434550",
"telephone_number": "516-428-5811",
"fax_number": "516-428-5811"
}
],
"practiceLocations": [
{
"address_1": "25 Little Plains Rd",
"address_purpose": "LOCATION",
"city": "Huntington",
"state": "NY",
"postal_code": "117434550",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOODMAN",
"first_name": "JOSEPH",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-22",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": "2689677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.