JAY HENRY GOODMAN (NPI# 1720361785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720361785 |
| Entity Type | Individual |
| Full Name | JAY HENRY GOODMAN |
| Credential | PH.D |
| Practice Address |
2704 Commerce Dr Harrisburg PA 17110-9380 |
| Mailing Address |
20 Research Pkwy Old Saybrook CT 06475-4214 |
| Practice Telephone | 8003703651 |
| Practice Fax Number | 8605100020 |
| Mailing Telephone | 8003703651 |
| Mailing Fax Number | 8605100020 |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS007703L | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134237779 | Jay A. Goodman | Psychologist | 54 Penny Ln, Suite B, Watsonville, CA 95076-6012 | 2006-08-25 |
| 1679044994 | Jay Richard Goodman IIi | Speech-Language Pathologist | 411 W Woodward Ave, Eustis, FL 32726-4554 | 2018-12-14 |
| 1023568680 | Jay Drew Goodman | Physical Medicine & Rehabilitation | 1603 Hillsborough St, 1603 Hillsborough Street, Raleigh, NC 27605-1638 | 2016-10-07 |
| 1114013505 | Jay Goodman | Pharmacist | 1101 Veterans Dr, Lexington, KY 40502-2235 | 2006-10-05 |
| 1326034026 | Jay David Goodman | Radiology | 629d Lowther Rd, Lewisberry, PA 17339-9527 | 2005-09-27 |
| 1861490492 | Jay S Goodman | Internal Medicine | 301 Saint Paul Pl, Suite 300-t Department of Medicine, Baltimore, MD 21202-2102 | 2005-07-08 |
| Street Address |
2704 COMMERCE DR |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17110-9380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346540770 | Masami Junod | Psychologist | 2704 Commerce Dr, Harrisburg, PA 17110-9380 | 2010-11-02 |
| 1619252848 | Megan Mccrae Lofgren | Nurse Practitioner | 2704 Commerce Dr, Harrisburg, PA 17110-9380 | 2011-10-19 |
| 1598045171 | Patricia Shaw | Social Worker | 2704 Commerce Dr, Harrisburg, PA 17110-9380 | 2011-08-26 |
| 1689968505 | Mary Pfeiffer | Social Worker | 2704 Commerce Dr, Harrisburg, PA 17110-9380 | 2011-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457993271 | Christopher William Delong | Nurse Practitioner | 2501 North 3rd St. Fl 2, Harrisburg, PA 17110 | 2019-10-14 |
| 1306490701 | Melissa Ann Duchesne | Registered Nurse | 2501 North 3rd Street, Landis Building 7th Floor, Harrisburg, PA 17110 | 2019-07-25 |
| 1558845024 | Mary Kaitlin Novak | Counselor | 3605 Vartan Way, Suite 204a, Harrisburg, PA 17110 | 2018-09-20 |
| 1548781602 | Olson Orenson Knight | Internal Medicine | 2501 N. Third Street, Harrisburg, PA 17110 | 2017-06-29 |
| 1356897938 | Millonee Dialysis LLC | Clinic/Center | 4390 Sturbridge Dr, Harrisburg, PA 17110 | 2016-09-01 |
| 1538529268 | Ergency Associates LLC | Emergency Medical Technician, Basic | 2323 Linglestown Road, Unit 201b, Harrisburg, PA 17110 | 2016-02-23 |
| 1134514904 | Benjamin Daniel Chan | Student in an Organized Health Care Education/Training Program | Kline Health Center, 2501 N. Third St., 2nd Floor, Landis Building, Harrisburg, PA 17110 | 2015-03-30 |
| 1013317411 | Robert Derner Jr. | Counselor | 2700 Commerce Dr., Harrisburg, PA 17110 | 2014-09-04 |
| 1780029454 | Khem Kumar Adhikari | Family Medicine | 3601 North Progress Ave., Harrisburg, PA 17110 | 2013-05-07 |
| 1962791905 | Paul Schaffner Stoner Sr. | General Practice | 4500 Oakhurst Blvd., Apt 319, Harrisburg, PA 17110 | 2011-03-30 |
| Find all providers in zip 17110 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922500479 | Yin Lin | Psychologist | 2595 Interstate Dr Suite 103, Harrisburg, PA 11710 | 2018-03-01 |
| 1790115491 | Jessica Leigh Taylor | Psychologist | 2601 Herr St, Harrisburg, PA 17103 | 2013-11-15 |
| 1295089613 | Sasha Mondragon | Psychologist | 2595 Interstate Dr, Ste 103, Medop Behavioral Health Associates of Pennsylvania PC, Harrisburg, PA 17110-9380 | 2012-11-07 |
| 1154627560 | Sunrise Psychological Services LLC | Psychologist | 5922 Linglestown Rd, 1st Floor, Harrisburg, PA 17112-1149 | 2011-02-02 |
| 1346540770 | Masami Junod | Psychologist | 2704 Commerce Dr, Harrisburg, PA 17110-9380 | 2010-11-02 |
| 1417261694 | Crissy Tamiko Miyake | Psychologist | 5351c Jaycee Ave, Suite 1, Harrisburg, PA 17112-2997 | 2010-07-30 |
| 1932112489 | Ivan S Zook | Psychologist | 3400 Rutherford St, Harrisburg, PA 17111-1851 | 2006-08-15 |
| 1861414369 | Riegler Shienvold & Associates | Psychologist | 2151 Linglestown Road, Suite 200, Harrisburg, PA 17110 | 2006-07-24 |
| 1447280201 | Patrick Rieker | Psychologist | 5351 Jaycee Ave # C, Suite #1, Harrisburg, PA 17112-2938 | 2006-07-04 |
| 1093776270 | Janet K. Kelley | Psychologist | 2101 N Front St, Harrisburg, PA 17110-1086 | 2006-03-29 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17110 |
Please comment or provide details below to improve the information on JAY HENRY 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.