DR. MARK DAVID GOODMAN (NPI# 1629039854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629039854 |
| Entity Type | Individual |
| Full Name | DR. MARK DAVID GOODMAN |
| Credential | PHD FPPR |
| Practice Address |
125 W. 2nd Avenue Suite E Hutchinson KS 67501-5300 |
| Mailing Address |
Po Box 1221 Hutchinson KS 67504-1221 |
| Practice Telephone | 6206634802 |
| Practice Fax Number | 6206639867 |
| Mailing Telephone | 6206634802 |
| Mailing Fax Number | 6206639867 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2017-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
374 | KS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100237680A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215148127 | Mark Norman Goodman | Anesthesiology | 14813 Hollyhock Dr, Oklahoma City, OK 73142-1829 | 2007-05-24 |
| 1578638391 | Mark E. Goodman | Physical Therapy Assistant | 1709 N Walnut St, Hartford City, IN 47348-1359 | 2006-11-21 |
| 1851307813 | Mark Wesley Goodman | Dentist | 801 E Tamarack Rd, Altus, OK 73521-1231 | 2006-07-31 |
| 1629005780 | Mark Goodman | Pediatrics | 3200 Long Beach Blvd, Long Beach, CA 90807-5062 | 2006-06-26 |
| 1518463959 | Mark Goodman | Counselor | 212 E Monument St, Colorado Springs, CO 80903-1004 | 2018-04-04 |
| 1801328455 | Mark Ariel Goodman | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Brooklyn, NY 11219 | 2017-04-03 |
| 1609223908 | Mark Brandon Goodman | Student in an Organized Health Care Education/Training Program | 101 Manning Dr, Chapel Hill, NC 27514 | 2016-05-17 |
| 1093158354 | Mark Jeffrey Goodman | Counselor | 210 W Galer St, Seattle, WA 98119-3332 | 2013-04-16 |
| 1568749687 | Mark Goodman | Counselor | 929 Sw Simpson Ave, Bend, OR 97702-3599 | 2011-11-03 |
| 1609018860 | Mark Quincy Goodman | Emergency Medicine | 1253 Nw Canal Blvd, Redmond, OR 97756-1334 | 2009-04-01 |
| Street Address |
125 W. 2ND AVENUE SUITE E |
| City | HUTCHINSON |
| State | KS |
| Zip Code | 67501-5300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497318778 | Sharon Lynn Surface | Social Worker | 200 East Avenue F, Hutchinson, KS 67501 | 2019-04-22 |
| 1669675351 | Barbara D Pangrac-pfertsh | Marriage & Family Therapist | 501 North Monroe Avenue, Hutchinson, KS 67501 | 2007-06-08 |
| 1588787113 | New Hope Counseling Services | Counselor | 421 W 1st, Ste D, Hutchinson, KS 67501 | 2007-04-09 |
| 1699805259 | Dolores D Francis | Registered Nurse | 1600 N Lorraine St Ste 202, Hutchinson, KS 67501 | 2007-03-06 |
| 1306989462 | Dillon Companies LLC | Pharmacy | 2700 E 4th Ave, Hutchinson, KS 67501 | 2007-02-15 |
| 1245392471 | Medical Center, P.a. | Clinic/Center | 1125 N Main, Hutchinson, KS 67501 | 2006-12-14 |
| 1952475055 | Payton Optical Inc | Technician/Technologist | 122 North Main, Hutchinson, KS 67501 | 2006-11-20 |
| 1699862219 | Jeffrey D Roth | Social Worker | 333 N Washington, Ste 260, Hutchinson, KS 67501 | 2006-10-06 |
| 1386739993 | Mark Alan Buehler | Chiropractor | 312 N. Main, Hutchinson, KS 67501 | 2006-10-03 |
| 1710071923 | Birth & Women's Health Center | Advanced Practice Midwife | 2913 E Red Rock Rd, Hutchinson, KS 67501 | 2006-10-03 |
| Find all providers in zip 67501 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346465564 | James Alan Dickerson | Psychologist | 125 W 2nd Ave, Hutchinson, KS 67501-5300 | 2007-04-14 |
| 1952414138 | Derek Grimmell | Psychologist | 3 29th Ct, Hutchinson, KS 67502-2417 | 2006-08-15 |
| 1972043040 | Hutchinson Psychological Services | Psychologist | 125 W 2nd Ave Ste E, Hutchinson, KS 67501-5263 | 2017-03-08 |
| 1750746715 | Kati Klitzke | Psychologist | 1095 Highway 15 S, Hutchinson, MN 55350-5000 | 2015-12-17 |
| 1447565866 | Mark D. Goodman | Psychologist | 125 W 2nd Ave, Suite E, Hutchinson, KS 67501-5300 | 2010-08-10 |
| 1063738508 | Willow Lake Mental Health Center | Psychologist | 902 Highway 15 S, Hutchinson, MN 55350-3506 | 2010-04-08 |
| 1427154350 | Dale R Anderson | Psychologist | 1715 E 23rd Ave, Hutchinson, KS 67502-1105 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785852 | Freudhawk Psychological Enterprises, LLC | Psychologist | 1307 E Iron Ave, Salina, KS 67401-3231 | 2020-06-23 |
| 1750914321 | Brian Patrick Russell | Psychologist | 730 New Hampshire St Ste 3m, Lawrence, KS 66044-3174 | 2020-02-21 |
| 1700429982 | Carolyn Sue Pepper | Psychologist | 2614 S 25th St, Leavenworth, KS 66048-4338 | 2019-10-21 |
| 1992355143 | Peabody,inc. | Psychologist | 7381 W 133rd St Ste 203, Overland Park, KS 66213-4777 | 2019-09-18 |
| 1174097042 | Heidi Marie Pontinen | Psychologist | 1901 E First St., Newton, KS 67114-0467 | 2019-01-14 |
| 1295232015 | Connection Therapy, LLC | Psychologist | 309 Happy Hollow St, Vermillion, KS 66544-8633 | 2018-04-09 |
| 1902304116 | Psychological Health Services, LLC | Psychologist | 626 Nebraska Ave, Holton, KS 66436-1462 | 2018-01-23 |
| 1588182885 | Glen M. Harnden | Psychologist | 16970 Grandview St, Overland Park, KS 66085-9376 | 2017-09-07 |
| 1063938850 | Lindsey Marie Backer-fulghum | Psychologist | Wichita State University, Counseling & Testing Center, 1845 Fairmount St., Wichita, KS 67260-0091 | 2017-08-14 |
| 1861913659 | Janelle Jeffrey | Psychologist | 1013 W 8th St Ste A, Junction City, KS 66441-2281 | 2017-06-30 |
| Find all providers with the same taxonomy | ||||
| City | HUTCHINSON |
| Zip Code | 67501 |
Please comment or provide details below to improve the information on DR. MARK DAVID GOODMAN.
| 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.