MRS. MICHELLE D GOODMAN (NPI# 1508108895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508108895 |
| Entity Type | Individual |
| Full Name | MRS. MICHELLE D GOODMAN |
| Credential | BS,CADC,CCS,WTS |
| Practice Address |
3007 Kearsarge Rd Camden NJ 08104 |
| Practice Telephone | 6095049035 |
| Practice Fax Number | 8562033825 |
| Mailing Telephone | 6095049035 |
| Mailing Fax Number | 8562033825 |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2013-03-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
37CA00052300 | NJ | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
37LC0046700 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821374596 | Michelle Goodman | Behavioral Analyst | 1036 Wilson Ave, Teaneck, NJ 07666-1811 | 2011-10-26 |
| 1528131836 | Michelle Goodman | Speech-Language Pathologist | 2745 Stillwater Lake Ln, Marietta, GA 30066-7904 | 2006-11-16 |
| 1093899478 | Michelle S Goodman | Nurse Practitioner | 21600 Highway 99 Ste 260, Edmonds, WA 98026-8049 | 2006-10-24 |
| 1366095325 | Michelle S Goodman | Social Worker | 3300 36th St Se, Grand Rapids, MI 49512-2810 | 2019-07-18 |
| 1942650817 | Michelle Goodman | Dentist | 41b State St, Lynn, MA 01901-1504 | 2016-06-21 |
| 1518317239 | Michelle Christina Goodman | Registered Nurse | 7055 Samuel Morse Dr, Columbia, MD 21046-3439 | 2016-06-14 |
| 1750488565 | Michelle Goodman | Physical Therapist | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2006-09-20 |
| Street Address |
3007 KEARSARGE RD |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215559695 | Rutgers, School of Nursing-camden Community Health Clinics | Nurse Practitioner | The Branches Health Center, 1700 South 9th Street, Camden, NJ 08104 | 2020-05-08 |
| 1891275467 | Genesis Counseling Center, Inc | Counselor | 1000 Atlantic Avenue, 5th Floor, Camden, NJ 08104 | 2018-08-14 |
| 1881183994 | Genesis Counseling Center, Inc | Counselor | 1000 Atlantic Ave., Camden, NJ 08104 | 2018-05-03 |
| 1952570426 | Camcare Health Corporation | Clinic/Center | 8th and Carl Miller Blvd., Camden, NJ 08104 | 2008-02-28 |
| 1376760942 | Restorative Programming, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1770 Mt. Ephraim Ave, Camden, NJ 08104 | 2007-04-18 |
| 1811000383 | Doganieros of Camden, Inc. | Pharmacist | 1552 Mount Ephraim Ave, Camden, NJ 08104 | 2006-08-17 |
| 1407475445 | Michael Christopher Romanko | Student in an Organized Health Care Education/Training Program | 1000 Atlantic Ave, Camden, NJ 08104 | 2020-04-09 |
| 1134618937 | Genesis Counseling Center, Inc | Counselor | 1000 Atlantic Ave., Camden, NJ 08104 | 2018-05-07 |
| 1285044859 | Nancy Florence Difrancesco | Counselor | 1000 Atlantic Ave, Camden, NJ 08104 | 2014-05-05 |
| 1275676447 | Kathleen H Macfarlane | Psychologist | 1600 Haddon Avenue, Our Lady of Lourdes Hospital Regional Rehabilitation, Camden, NJ 08104 | 2007-02-15 |
| Find all providers in zip 08104 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427564574 | Maria C. Berrios | Counselor | 116 N 2nd St Ste 102, Camden, NJ 08102-1601 | 2017-12-26 |
| 1508318353 | Marvin Price | Counselor | 1040 Langham Ave, Camden, NJ 08103-2735 | 2016-10-27 |
| 1649667627 | Paul Quijano | Counselor | 9 Trim St, Camden, ME 04843-1622 | 2015-04-17 |
| 1972996395 | Emily Buchenhorst | Counselor | 594 Benson Street, Camden, NJ 08103 | 2015-03-10 |
| 1346642337 | Genesis Counseling Center, Inc. | Counselor | 1000 Atlantic Ave Fl 5, Camden, NJ 08104-1132 | 2014-09-22 |
| 1265859979 | Robert Preston Rogers Sr. | Counselor | 1535 Norris St, Camden, NJ 08104-1714 | 2014-03-20 |
| 1649475047 | Sikora Center, Inc. | Counselor | 613 Clinton St # 615, Camden, NJ 08103-1415 | 2007-06-18 |
| 1215055876 | Angela Mashel Rich | Counselor | 1269 California Sw, Camden, AR 71701 | 2007-03-26 |
| 1831232446 | Jason Fox | Counselor | 270 Spring Dr, Camden, TN 38320-6855 | 2007-02-14 |
| 1639219512 | Susan Brewer | Counselor | 2165 Highway 69a, Camden, TN 38320-5228 | 2007-02-08 |
| Find all providers in CAMDEN | ||||
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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.