DR. MARTIN ALAN GOODMAN (NPI# 1184630964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184630964 |
Entity Type | Individual |
Full Name | DR. MARTIN ALAN GOODMAN |
Credential | PH.D, HSPP |
Practice Address |
1700 E 38th St Marion IN 46953-4568 |
Practice Telephone | 7656743321 |
Mailing Telephone | 7656743321 |
Enumeration Date | 2006-07-31 |
Last Update Date | 2013-04-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
20040821A | IN | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992846091 | Martin D Goodman | Surgery | 800 Washington St, Box 1706, Boston, MA 02111-1552 | 2007-02-09 |
Street Address |
1700 E 38TH ST |
City | MARION |
State | IN |
Zip Code | 46953-4568 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881690055 | Alexis Miguel Echevarria-vargas | Physical Medicine & Rehabilitation | 1700 E 38th St, Marion, IN 46953-4568 | 2005-06-22 |
1780299438 | Malinee Sue Swihart | Physical Therapist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-09-10 |
1336753235 | Lana L Skelton | Counselor | 1700 E 38th St, Building 124, Room 222, Marion, IN 46953 | 2020-09-08 |
1245844380 | Tiffany Clark | Pharmacist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-09-05 |
1679183982 | Adam M Smith | Pharmacist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-08-03 |
1770192684 | Matthew T Bajor | Pharmacist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-07-27 |
1619594934 | Gary L Hite Jr. | Pharmacist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-07-02 |
1801412804 | Amanda Diane Wisener | Pharmacist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-06-25 |
1710503719 | Ana Maria Vargas | Pharmacist | 1700 E 38th St, Marion, IN 46953-4568 | 2020-06-25 |
1669018594 | Marybeth Pecina | Dietitian, Registered | 1700 E 38th St, Marion, IN 46953-4568 | 2019-11-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396280335 | Sherri Gaye Hall Hamilton | Nurse Practitioner | 1700 West 38th Street, Marion, IN 46953 | 2016-12-29 |
1487022810 | Hannah Renfrow | Nurse Practitioner | 1411 W Bella Drive, Marion, IN 46953 | 2015-09-02 |
1174907844 | Kathleen Marie Kunkle | Occupational Therapy Assistant | 729 35th St., Marion, IN 46953 | 2015-07-13 |
1386054302 | Sarah Michelle Schultz | Specialist/Technologist | 4201 S Washington Street, Indiana Wesleyan University Athletic Training, Marion, IN 46953 | 2014-04-29 |
1437595022 | Famila Dental Marion LLC | Dentist | 1903 S Western Ave, Marion, IN 46953 | 2013-05-22 |
1063654887 | Mill Township Volunteer Fire Department | Ambulance | 2113 E. Old Kokomo Road, Marion, IN 46953 | 2009-03-25 |
1023203601 | Assisted Living Concepts Inc | Assisted Living Facility | 725 West 50th Street, Marion, IN 46953 | 2007-09-07 |
1538381991 | Lifetime Dental Care of Indiana, PC | Dentist | 2017 South Western Ave, Marion, IN 46953 | 2007-05-03 |
1063634699 | Bethany Dawn Coppock | Occupational Therapy Assistant | 4725 Colonial Oaks Drive, Marion, IN 46953 | 2007-05-03 |
1568684439 | Donna B Berryhill | Physical Therapy Assistant | 4725 South Colonial Oaks Drive, Marion, IN 46953 | 2007-05-02 |
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Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952378424 | Michael C March | Psychologist | 2910 Covey Run Ct, Marion, IA 52302 | 2006-03-03 |
1013497908 | Lisa M Drogosz | Psychologist | 670 Marion Williamsport Rd E, Marion, OH 43302-8683 | 2018-08-20 |
1114202215 | Charles K Hees | Psychologist | 3111 Williamson County Pkwy, Marion, IL 62959-5235 | 2011-10-20 |
1407865892 | Vincent D Kelley | Psychologist | 1700 E 38th St, Marion, IN 46953-4568 | 2006-08-05 |
1255347399 | Marguerite Wyman | Psychologist | 1700 E 38th St, Marion, IN 46953-4568 | 2006-07-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972125946 | Lesley Stockton | Psychologist | 3837 N Delaware St, Indianapolis, IN 46205-2647 | 2020-05-13 |
1316440191 | Julie D'argent | Psychologist | 205 N College Ave Ste 430, Bloomington, IN 47404 | 2018-03-17 |
1821506163 | Christopher G Black | Psychologist | 703 3rd St Rm 1120, West Lafayette, IN 47907-2081 | 2018-01-22 |
1932632932 | Julie Renee Lafollette | Psychologist | 3901 E Hagan St, Suite F, Bloomington, IN 47401-8557 | 2017-04-06 |
1083155964 | The Highlands Psychology Group | Psychologist | 3100 John Hinkle Place Suite 104, Bloomington, IN 47408-2611 | 2017-03-13 |
1548705478 | Sarah Lagrange | Psychologist | 1918 S Hawksmoore Dr, Bloomington, IN 47401-7155 | 2017-01-02 |
1386013167 | Angela Janet Horn | Psychologist | 2627 Charlestown Road, New Albany, IN 47150 | 2015-09-22 |
1649648155 | Lenisha Watson | Psychologist | 3133 Merrick Ln, 1a, Indianapolis, IN 46222-1755 | 2015-09-14 |
1336534346 | Emily Marie Elder | Psychologist | 401 West Eads Parkway, Suite 450, Lawrenceburg, IN 47205 | 2015-04-06 |
1487065611 | Jesse Steinfeldt | Psychologist | 6309 Bent Pine Drive, Bloomington, IN 47408-9345 | 2014-05-09 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.