Active NPI
Shelby Goodman
- Behavior Analyst
- Carrollton, TX
National Provider Identifier
1851147847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 6928
- Practice address
- 2020 E Hebron Pkwy Ste 120
Carrollton, TX 75007-1609 - Phone
- (469) 892-7500
- NPI assigned
- Apr 29, 2024
- Last updated
- Apr 29, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 6928 | TX | Primary |
Addresses
Primary practice location
2020 E Hebron Pkwy Ste 120
Carrollton, TX 75007-1609
Mailing address
2128 Santa Fe TRL
Grapevine, TX 76051-2771
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6928 | TX | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teach Me LLC | Behavior Analyst | Past | Accepting new patients |
| Therapy & Beyond Medical Management, LLC | Past | Accepting new patients |
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.
-
- Developmental Disabilities Clinic/Center
- Carrollton, TX
- NPI 1669146171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714348800000",
"number": "1851147847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2128 SANTA FE TRL",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760512771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 E HEBRON PKWY STE 120",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750071609",
"telephone_number": "469-892-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "SHELBY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-29",
"last_updated": "2024-04-29",
"certification_date": "2024-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "6928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.