DR. DAVID J GOODMAN (NPI# 1649380924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649380924 |
| Entity Type | Individual |
| Full Name | DR. DAVID J GOODMAN |
| Credential | PHD |
| Practice Address |
W175n11081 Stonewood Dr Ste 212 Germantown WI 53022-4771 |
| Mailing Address |
1035 W Glen Oaks Ln Ste 110 Mequon WI 53092-3392 |
| Practice Telephone | 2622446177 |
| Practice Fax Number | 2622993040 |
| Mailing Telephone | 2622446178 |
| Mailing Fax Number | 2622993040 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2018-10-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2581-057 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | MEDICARE | 000084137 | 01 |
| WI | 39152500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811258775 | David Allen Goodman | Preventive Medicine | 3939 Monona Dr, 101, Monona, WI 53716-1175 | 2012-06-06 |
| 1417236431 | David Goodman | Technician/Technologist | 11029 Mill Centre Dr, Suite 101, Owings Mills, MD 21117-3275 | 2011-08-08 |
| 1407064504 | David M. Goodman | Speech-Language Pathologist | 23480 Sanabria Loop, Bonita Springs, FL 34135-5380 | 2007-05-20 |
| 1548309867 | David Todd Goodman | Optometrist | 107 Lexington Plz, Lexington, TN 38351-1505 | 2007-02-05 |
| 1265588511 | David Edward Goodman | General Practice | 300 Professional Center Dr Ste 326, Novato, CA 94947-4334 | 2007-01-26 |
| 1982639803 | David Wayne Goodman | Psychologist | 2639 Sunset Avenue, Suite B, Rocky Mount, NC 27804-3700 | 2006-07-11 |
| 1619922168 | David L Goodman | Chiropractor | 7256 Rising Sun Ave, Philadelphia, PA 19111-3948 | 2006-05-23 |
| 1487637997 | David L Goodman | Allergy & Immunology | 3601 S Clarkson, Suite 200, Englewood, CO 80113-3946 | 2005-11-29 |
| 1023006467 | David Jason Goodman | Nurse Practitioner | 2611b Se 17th St, Ocala, FL 34471-5520 | 2005-10-10 |
| 1770588113 | David S Goodman | Anesthesiology | 2820 Northup Way, Ste 200, Bellevue, WA 98004-1498 | 2005-06-14 |
| Street Address |
W175N11081 STONEWOOD DR STE 212 |
| City | GERMANTOWN |
| State | WI |
| Zip Code | 53022-4771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437556511 | Bradley Sachse | Counselor | W175n11081 Stonewood Dr Ste 212, Germantown, WI 53022-4771 | 2014-12-04 |
| 1700165768 | Karen J Kiser | Counselor | W175n11081 Stonewood Dr Ste 212, Germantown, WI 53022-4771 | 2011-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831669407 | Margaret Jo Mulder | Chiropractor | W164 N11269 Squire Drive Suite B, Germantown, WI 53022 | 2018-11-27 |
| 1316441579 | Community Home Care Services | Home Health | N112 W16298 Mequon Rd, 127, Germantown, WI 53022 | 2018-03-22 |
| 1811426224 | Wi-care LLC | In Home Supportive Care | W175n11163 Stonewood Drive Ste 220, Germantown, WI 53022 | 2017-06-08 |
| 1134675358 | Kojo Bempong | Anesthesiologist Assistant | Ahcmg Anesthesiology, 4025 North 92nd Street, Wauwatosa, WI 53022 | 2016-08-28 |
| 1336501915 | Ashley Russell | Occupational Therapist | W175 N11117 Stonewood Drive, Suite 100, Germantown, WI 53022 | 2016-03-23 |
| 1134535735 | Erin Therese Grueneberg | Nurse Practitioner | W153 N9990 Neptune Drive, Germantown, WI 53022 | 2014-07-03 |
| 1306286836 | Kyle W Mcmahon | Occupational Therapist | W175 N1117 Stonewood Drive, Suite 100, Germantown, Wi, WI 53022 | 2013-06-28 |
| 1326354713 | Brittany Skogg | Physical Therapist | W175 W11117 Stonewood Dr., Suite 100, Germantown, WI 53022 | 2010-08-24 |
| 1669635066 | Joseph D Deguzman Dds Ms Sc | Clinic/Center | W172 N9723 Division Road, Suite A, Germantown, WI 53022 | 2008-07-07 |
| 1457513988 | Rustin A. West | Dentist | W172 N9723 Division Road Suite A, Germantown, WI 53022 | 2008-06-26 |
| Find all providers in zip 53022 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407374432 | Eric Joseph Teeters | Psychologist | 20680 Seneca Meadows Pkwy Ste 217, Germantown, MD 20876-7029 | 2017-08-30 |
| 1104284199 | Paul Ronald Nahmias | Psychologist | 8236 Pine Valley Ln, Germantown, TN 38139-4207 | 2016-02-04 |
| 1922334366 | Amy B Beebe | Psychologist | 2034 Exeter Rd, Suite 4, Germantown, TN 38138-3944 | 2009-10-20 |
| 1992967368 | Denise C Morett-schneider | Psychologist | 175 Commons Rd, Germantown, NY 12526-5521 | 2008-06-27 |
| 1073695870 | J. Jolene Mcclenaghan Bailey | Psychologist | 2022 Exeter Rd, Suite 1, Germantown, TN 38138-3945 | 2006-10-20 |
| 1285723478 | Denise Lenore Tourignydewhurst | Psychologist | 13617 Anndyke Pl, Germantown, MD 20874-2806 | 2006-10-12 |
| 1396836409 | Sheena Elizabeth Rose | Psychologist | 1922 Exeter Road, Suite 106, Germantown, TN 38138 | 2006-09-27 |
| 1043289291 | Roy David Greenberg | Psychologist | 7516 Enterprise, Ste 1, Germantown, TN 38138 | 2006-03-17 |
| 1821067752 | Richard Lewis Luscomb | Psychologist | 7516 Enterprise Ave, Suite 1, Germantown, TN 38138-3802 | 2006-03-14 |
| 1528572724 | Jae Seung Cha | Psychologist | 20680 Seneca Meadows Pkwy Ste 217, Germantown, MD 20876-7029 | 2017-11-27 |
| Find all providers in GERMANTOWN | ||||
| City | GERMANTOWN |
| Zip Code | 53022 |
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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.