Elisabeth Anne Goodman, PH.D., NCSP, SP560

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

SP 560 Issued in OH

Practice address

25221 Miles Rd
Suite F
Warrensville Heights, OH 44128-5474

Phone

(216) 586-2319

Fax

(216) 292-1391

NPI assigned

Mar 23, 2009

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

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• Partners for Behavioral Health and Wellness Inc

  • Psychologist
  • Beachwood, OH
  • NPI 1083057723
  Medicare reassignment NPD

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237766400000",
    "number": "1659512515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25221 MILES RD",
            "address_2": "SUITE F",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285474",
            "telephone_number": "216-586-2319",
            "fax_number": "216-292-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25221 MILES RD",
            "address_2": "SUITE F",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285474",
            "telephone_number": "216-586-2319",
            "fax_number": "216-292-1391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "ELISABETH",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D., NCSP, SP560",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-23",
        "last_updated": "2009-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "SP 560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Goetz
• Emma Taylor Hoffman Goldblatt
• Golden Hearts Transportation Services, LLC
• Phyllis Golston
• Stanford Golston
• Samantha Lauren Gorentz, OTR/L
• Kerry Gould, CNP (FNP)
• Janel Grady, STNA
• Barbara Grajzl, RPH
• Marcie Gray-Forrest

• School Psychologist in Warrensville Heights, OH
• Providers in Warrensville Heights, OH by specialty
• School Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.