Patrick B Goodman, MD
Individual provider Active NPI Psychiatry Physician · Grand Forks, ND
NPI 1962500694 · NPPES record last updated Jul 1, 2026
Key facts
- NPI
- 1962500694
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 6215 (ND)
- Practice address
- 4700 S Washington St Ste G
Grand Forks, ND 58201-8155 - Phone
- (701) 746-6336
- Fax
- (701) 772-1030
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- University of North Dakota School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Agassiz Associates, PLLC
Practice addresses (Care Compare)
2424 32ND Ave S
Suite 202
Grand Forks, ND 58201-6510
4700 S Washington St
Suite G
Grand Forks, ND 58201-8155
Phone (701) 746-6336
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031204000162 | ND | Practitioner - Psychiatry | 2769387661 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6215 | ND | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agassiz Associates, PLLC | Current |
Accepting new patients | |
| Northeast Human Service Center | Current |
Accepting new patients | |
| Northeast Behavioral Health Clinic | Current |
Accepting new patients |
Locations
151 S 4th St
Ste 401
Grand Forks, ND 58201
Phone (701) 795-3000
4700 S Washington St
Ste G
Grand Forks, ND 58201
Phone (701) 732-2506
2424 32nd Ave S
Ste 202
Grand Forks, ND 58201
Phone (701) 746-6336
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 6215 | ND | Yes |
Addresses
Primary practice location
4700 S Washington St Ste G
Grand Forks, ND 58201-8155
Mailing address
4700 S Washington St Ste G
Grand Forks, ND 58201-8155
Phone (701) 746-6336
Other providers in Grand Forks, ND
- Sandra Gomez
- Yvonne L Gomez
- Kelsie Good Shield
- Dale Goodbrandson
- Daniel Gooden
- Casey James Goodyear
- Vicki L Gorder
- Patricia A Gordon
- Michaela Jean Gorman
- Heath Patrick Gould
All providers in Grand Forks, ND · Psychiatry Physician in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.