ROBERT C. GOODWIN MD LLC (NPI# 1366623951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366623951 |
| Entity Type | Organization |
| Organization Name | ROBERT C. GOODWIN MD LLC |
| Practice Address |
1726 Ellington Rd South Windsor CT 06074-2739 |
| Practice Telephone | 8606449191 |
| Practice Fax Number | 8606449191 |
| Mailing Telephone | 8606449191 |
| Mailing Fax Number | 8606449191 |
| Enumeration Date | 2007-11-25 |
| Last Update Date | 2007-11-25 |
| Authorized Official Name | DR. ROBERT C. GOODWIN (MANAGING MEMBER) |
| Authorized Official Telephone | 8606449191 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
16361 | CT | Ambulatory Health Care Facilities |
| Street Address |
1726 ELLINGTON RD |
| City | SOUTH WINDSOR |
| State | CT |
| Zip Code | 06074-2739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215051164 | Robert Clare Goodwin | Specialist | 1726 Ellington Rd, South Windsor, CT 06074-2739 | 2007-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174144919 | Russo Therapeutics, LLC | Occupational Therapist | 561 King Street, South Windsor, CT 06074 | 2020-05-04 |
| 1144706631 | Chana Judith Hoagland | Nurse Practitioner | 276 Quarry Brook Drive, South Windsor, CT 06074 | 2018-07-17 |
| 1093203291 | Climb Medical Group LLC | Counselor | 828 Sullivan Ave Ste A, South Windsor, CT 06074 | 2018-04-24 |
| 1528506516 | William P Guinan, Md and Associates LLC | Obstetrics & Gynecology | 25 Oakland Road, South Windsor, CT 06074 | 2017-02-09 |
| 1487027678 | Nadine Caron | Nurse Practitioner | 34 Pleasant Valley Rd, South Windsor, CT 06074 | 2015-11-10 |
| 1275957920 | Ellen Carol Ronsivalli | Dietitian, Registered | 70 High Street, South Windsor, CT 06074 | 2014-02-14 |
| 1881036457 | Chandra Yellinedi | Pharmacist | 55 Frazer Fir, South Windsor, CT 06074 | 2013-07-24 |
| 1144665969 | Brian Thomas Moy | Internal Medicine | 2400 Tamarack Ave Ste 101, South Windsor, CT 06074 | 2013-05-07 |
| 1093072886 | Lydia Lormand | Obstetrics & Gynecology | 2600 Tamarack Ave Ste 200, South Windsor, CT 06074 | 2012-04-18 |
| 1578847307 | International Institute for Professional Development, LLC | Social Worker | 435 Buckland Hills Road, South Windsor, CT 06074 | 2011-09-28 |
| Find all providers in zip 06074 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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| 1427616077 | Therigatha Center for Psychotherapy | Clinic/Center | 68 Bridge St Unit 301, Suffield, CT 06078-3108 | 2019-05-30 |
| 1942864145 | Cynthia Leavitt, LLC | Clinic/Center | 39 New London Tpke Ste 316, Glastonbury, CT 06033-2061 | 2019-04-24 |
| 1285108498 | Lana Lachance LLC | Clinic/Center | 346 Main St S Fl 2, Woodbury, CT 06798-3409 | 2019-01-22 |
| 1295215093 | Mindful Therapy Studio LLC | Clinic/Center | 16 Rae Palmer Road, Moodus, CT 06423 | 2018-08-21 |
| 1356831960 | Connecticut Counseling Centers Inc | Clinic/Center | 15 Commerce Rd Lowr 1, Stamford, CT 06902-4553 | 2018-05-18 |
| 1780189480 | Connecticut Counseling Centers, Inc. | Clinic/Center | 290 Pratt St Ste 2312, Meriden, CT 06450-8600 | 2018-03-26 |
| 1750807426 | The Connection Inc | Clinic/Center | 37 Garden St, Hartford, CT 06105-2129 | 2017-08-15 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH WINDSOR |
| Zip Code | 06074 |
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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.