Individual provider Active NPI

Patrick B Goodman, MD

  • Psychiatry Physician
  • Grand Forks, ND
National Provider Identifier
1962500694
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
6215 Issued in 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
Last updated
Jul 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 6215 ND Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031204000162 ND Practitioner - Psychiatry 2769387661 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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, PLLCGroup PAC ID 9335116417, 9 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6215NDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Behavioral Health Clinic CurrentSince Aug 16, 2010 Accepting new patients
Agassiz Associates, PLLC CurrentSince Apr 1, 2025 Accepting new patients
Northeast Human Service Center CurrentSince Aug 16, 2010 Accepting new patients

Locations

151 S 4th St
Ste 401
Grand Forks, ND 58201
Phone (701) 795-3000

2424 32nd Ave S
Ste 202
Grand Forks, ND 58201
Phone (701) 746-6336

4700 S Washington St
Ste G
Grand Forks, ND 58201
Phone (701) 746-6336

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1962500694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 S WASHINGTON ST STE G",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582018155",
            "telephone_number": "701-746-6336",
            "fax_number": "701-772-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 S WASHINGTON ST STE G",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582018155",
            "telephone_number": "701-746-6336",
            "fax_number": "701-772-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODMAN",
        "first_name": "PATRICK",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ND",
            "license": "6215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Forks, ND

Sources for this page

Verify at the official NPI Registry.