Individual provider Active NPI

Heather Goodman, MD

  • Child & Adolescent Psychiatry Physician
  • Irvington, NY
National Provider Identifier
1740547389
Registry record updated May 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
270761 Issued in NY
Practice address
1 Bridge St Ste 24
Irvington, NY 10533-1552
Phone
(914) 350-4788
Fax
(914) 218-6558
NPI assigned
Apr 20, 2012
Last updated
May 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 270761 NY
Child & Adolescent Psychiatry Physician 2084P0804X 270761 NY Primary

Addresses

Primary practice location

1 Bridge St Ste 24
Irvington, NY 10533-1552

Mailing address

23 Washington Ave
Irvington, NY 10533-2620
Phone (914) 350-4788

Other practice location 1

23 Washington Ave
Irvington, NY 10533-2620
Phone (914) 350-4788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Goodman Wellness LLC Psychiatry CurrentSince Jan 1, 2024 Accepting new patients
Goodman Psychiatric Services PLLC Psychiatry CurrentSince May 7, 2024 Accepting new patients

Locations

1 Bridge St
Ste 24
Irvington, NY 10533
Phone (914) 350-4788

Interoperability endpoints

  • Direct secure messaging: heg9018@direct.nyp.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714780800000",
    "number": "1740547389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WASHINGTON AVE",
            "city": "IRVINGTON",
            "state": "NY",
            "postal_code": "105332620",
            "telephone_number": "914-350-4788",
            "fax_number": "914-218-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRIDGE ST STE 24",
            "city": "IRVINGTON",
            "state": "NY",
            "postal_code": "105331552",
            "telephone_number": "914-350-4788",
            "fax_number": "914-218-6558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Irvington",
            "state": "NY",
            "postal_code": "105332620",
            "country_code": "US",
            "telephone_number": "914-350-4788",
            "fax_number": "914-218-6558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "HEATHER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-20",
        "last_updated": "2024-05-04",
        "certification_date": "2024-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "270761",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "270761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2024; 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.