Organization Active NPI

Goodwin Psychological Services

  • Psychologist
  • Hamlet, NC
National Provider Identifier
1760934343
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4762 Issued in NC
Legal business name
GOODWIN PSYCHOLOGICAL SERVICES
Practice address
34 W Main St
Suite D
Hamlet, NC 28345-3636
Phone
(910) 557-0044
Fax
(910) 716-9177
NPI assigned
Oct 28, 2016
Last updated
Nov 3, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

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

Authorized official

Name
Dr. Tanya Goodwin-Baldwin, HSP-P
Title
Owner/Licensed Psychologist
Phone
(910) 557-0044

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 4762 NC
Adolescent and Children Mental Health Clinic/Center 261QM0855X 4762 NC
Psychologist 103T00000X 4762 NC Primary

Addresses

Primary practice location

34 W Main St
Suite D
Hamlet, NC 28345-3636

Mailing address

PO Box 1718
Hamlet, NC 28345-1718

National Provider Directory

National Provider Directory

Locations

34 W Main St
Ste D
Hamlet, NC 28345
Phone (910) 557-0044

NPI Registry JSON

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509667200000",
    "number": "1760934343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1718",
            "city": "HAMLET",
            "state": "NC",
            "postal_code": "283451718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 W MAIN ST",
            "address_2": "SUITE D",
            "city": "HAMLET",
            "state": "NC",
            "postal_code": "283453636",
            "telephone_number": "910-557-0044",
            "fax_number": "910-716-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWIN PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-28",
        "last_updated": "2017-11-03",
        "status": "A",
        "authorized_official_last_name": "GOODWIN-BALDWIN",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "OWNER/LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "910-557-0044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "HSP-P"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "4762",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NC",
            "license": "4762",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "4762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamlet, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.