Jean M. Goodwin, M.D.
Individual provider Active NPI Psychoanalyst · Galveston, TX
NPI 1700909645 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1700909645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychoanalyst 102L00000X
- License
- J3945 (TX)
- Practice address
- 4925 Fort Crockett Blvd
Suite 510
Galveston, TX 77551-6003 - Phone
- (409) 762-1101
- Fax
- (409) 762-1163
- NPI assigned
- Apr 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 1, 2016 through Feb 1, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J3945 | TX | MD | Psychosomatic Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | J3945 | TX | Yes |
| Psychosomatic Medicine Physician | 2084P0015X | J3945 | TX |
Addresses
Primary practice location
4925 Fort Crockett Blvd
Suite 510
Galveston, TX 77551-6003
Mailing address
4925 Fort Crockett Blvd
Suite 510
Galveston, TX 77551-6003
Phone (409) 762-1101
Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.