Active NPI
Earl Anthony Gooden, MD
- Psychiatry Physician
- Hyannis, MA
National Provider Identifier
1881626315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 81063
- Practice address
- 27 Park St
Hyannis, MA 02601-5230 - Phone
- (508) 862-5000
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 81063 | MA | Primary |
Addresses
Primary practice location
27 Park St
Hyannis, MA 02601-5230
Mailing address
PO Box 260
21 Longmeadow Road
Westborough, MA 01581-0260
Phone (508) 898-3789
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3201350 | Medicaid | MA | |
| 797922 | Other | MA | TUFTS |
| J21114 | Other | MA | BLUE SHIELD |
| 15-00698 | Other | MA | EVERCARE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81063 | MA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Trustees of Noble Hospital | Psychiatry | 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 and National Provider Directory roles.
-
- Prescribing (Medical) Psychologist
- Westfield, MA
- NPI 1689892077
Psychiatry
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209945600000",
"number": "1881626315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 260",
"address_2": "21 LONGMEADOW ROAD",
"city": "WESTBOROUGH",
"state": "MA",
"postal_code": "015810260",
"telephone_number": "508-898-3789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 PARK ST",
"city": "HYANNIS",
"state": "MA",
"postal_code": "026015230",
"telephone_number": "508-862-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODEN",
"first_name": "EARL ANTHONY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2008-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "81063",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3201350",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "797922",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "J21114",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "15-00698",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hyannis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.