Emma Brooks Goulet

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

S23111260 Issued in MA

Practice address

6 Bella Vista Ave
Mansfield, MA 02048-1307

Phone

(508) 840-3542

NPI assigned

Sep 1, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1649884347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BELLA VISTA AVE",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481307",
            "telephone_number": "508-840-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BELLA VISTA AVE",
            "city": "MANSFIELD",
            "state": "MA",
            "postal_code": "020481307",
            "telephone_number": "508-840-3542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULET",
        "first_name": "EMMA",
        "middle_name": "BROOKS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MA",
            "license": "S23111260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Mansfield",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6 Bella Vista Ave",
            "city": "Mansfield",
            "state": "MA",
            "country_code": "US",
            "postal_code": "020481307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marguerite Garofalo, M.D.
• Kylie L Gervasio
• Ginsberg Family Dental LLC
• Joyce Ginsberg, DMD
• Stephan Ginsberg, DMD
• Melissa Goulet, PHARM D
• Alissa J Grace, MS,CCC
• Great Woods Family Dentistry
• Paul Theodore Greiner, MD
• Amit Johnny Grover, M.D.

• Student in an Organized Health Care Education/Training Program in Mansfield, MA
• Providers in Mansfield, MA by specialty
• Student in an Organized Health Care Education/Training Program in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.