India Goodwin

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3793 Green Rd
Beachwood, OH 44122-5705

Phone

(216) 376-6640

NPI assigned

Jun 2, 2014

Last updated

Aug 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1740692235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 RUSSELL DR APT D",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442418355",
            "telephone_number": "121-637-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3793 GREEN RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225705",
            "telephone_number": "216-376-6640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "INDIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OH",
            "license": "RN448674",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2900767",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra F Goodman, LPCC
• Janet M Goodman, PHD
• Demerius Goodwin
• Elizabeth A Goodwin, PCC
• Heidi A Goodwin, MSN CNM CNP
• Russell J Goodwin, LPC, LICDC
• Rajesh Gopalarathinam, MD
• Gordon & Mangan Travelers Clinic, LLC (Passport Health Northern Ohio)
• Gordon Dental Care, Inc.
• Barry Hale Gordon, PH.D.

• Case Manager/Care Coordinator in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.