Jacqueline Godin

Primary specialty

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

Practice address

30555 Michigan Ave
Westland, MI 48186-5310

Phone

(313) 924-7860

NPI assigned

Sep 21, 2020

Last updated

Sep 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rise Above This Therapy LLC

  • Clinical Social Worker
  • Southfield, MI
  • NPI 1104789262
  NPD Authorized official
• All Well-Being Services

  • Psychiatry Physician
  • Detroit, MI
  • NPI 1679663546
  NPD
• Adult Well Being Services

  • Case Management Agency
  • Detroit, MI
  • NPI 1023353984
  NPD (past)
• Fairsky Foundation

  • Multi-Specialty Clinic/Center
  • Ferndale, MI
  • NPI 1033595665

  Clinical

  NPD (past)

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1699381152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1748 SUPERIOR BLVD",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481924823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30555 MICHIGAN AVE",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865310",
            "telephone_number": "313-924-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODIN",
        "first_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Rachel Gladstein, M.D.
• Glamike Cares Inc
• Joy Glover, C.N.M.
• Megan Glunt, RD
• Kirk Jude Douglas Goddard, M.A., L.L.P.
• Golden Heart Care Services
• Golden Home Care Group LLC (Golden Home Health Care)
• Golden Home Medical Transportation Services LLC
• Golden Home Private Duty LLC
• Phillip Goldsmith, RPH

• Student in an Organized Health Care Education/Training Program in Westland, MI
• Providers in Westland, MI by specialty
• Student in an Organized Health Care Education/Training Program in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.