Organization Active NPI

Shelley Z Goodman PHD

  • Preferred Provider Organization
  • Elkins Park, PA
National Provider Identifier
1679362040
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
SHELLEY Z GOODMAN PHD
Practice address
7401 Old York Rd
Elkins Park, PA 19027-3005
Phone
(215) 782-1297
Fax
(215) 754-0999
NPI assigned
May 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
Dr. Shelley Z Goodman, PH.D.NPI 1194875575
Title
Director
Phone
(215) 782-1297

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

7401 Old York Rd
Elkins Park, PA 19027-3005

Mailing address

7857 Spring Ave
Elkins Park, PA 19027-2619
Phone (215) 327-7534

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1746144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1679362040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7857 SPRING AVE",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190272619",
            "telephone_number": "215-327-7534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 OLD YORK RD",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190273005",
            "telephone_number": "215-782-1297",
            "fax_number": "215-754-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLEY Z GOODMAN PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-02",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "215-782-1297",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.