Bridget Doyle Goodwin, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-38981

Practice address

107 W 82ND St # St101
New York, NY 10024-5511

Phone

(503) 949-5034

NPI assigned

Nov 20, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1922601970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 E 94TH ST APT 5S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101283989",
            "telephone_number": "503-949-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W 82ND ST # ST101",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245511",
            "telephone_number": "503-949-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODWIN",
        "first_name": "BRIDGET",
        "middle_name": "DOYLE",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-19-38981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Goodridge, M.ED
• Ann Ellen Goodstein, MPS, ATR-BC, LSAT
• Catherine Goodstein, MD
• Renee Goodstein, PH.D.
• Goodwerk & Company LLC
• Caitlyn Marijke Goodwin, DPM
• Charles Bradford Goodwin, M.D.
• Corrie Elizabeth Goodwin, PHARMD
• Frances H Goodwin, LIC. AC.
• Juliet Goodwin, LMSW, MHC

• Behavior Analyst in New York, NY
• Providers in New York, NY by specialty
• Behavior Analyst in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.