THOMAS GOODRIDGE (NPI# 1801158191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801158191 |
| Entity Type | Individual |
| Full Name | THOMAS GOODRIDGE |
| Credential | M.ED |
| Practice Address |
825 W End Ave New York NY 10025-5349 |
| Practice Telephone | 2126629034 |
| Practice Fax Number | 2126629222 |
| Mailing Telephone | 2126629034 |
| Mailing Fax Number | 2126629222 |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821089327 | Thomas Hampton Goodridge | Obstetrics & Gynecology | 10313 Georgia Ave, Ste 202, Silver Spring, MD 20902-5006 | 2005-11-02 |
| Street Address |
825 W END AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10025-5349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972668432 | Rajeshree Valayadum | Occupational Therapist | 825 W End Ave, #1b, New York, NY 10025-5349 | 2006-12-26 |
| 1427419159 | Elizabeth Clark | Psychologist | 825 W End Ave, 1d, New York, NY 10025-5349 | 2016-03-08 |
| 1992197313 | Paula Dorinson | Psychologist | 825 W End Ave, Suite 1a, New York, NY 10025-5349 | 2015-02-22 |
| 1336564616 | Tamar Davis | Specialist | 825 W End Ave, New York, NY 10025-5349 | 2014-02-24 |
| 1235569104 | Elizabeth Inocente | Case Manager/Care Coordinator | 825 W End Ave, New York, NY 10025-5349 | 2013-11-13 |
| 1245666825 | Vivian Florez | Case Manager/Care Coordinator | 825 W End Ave, New York, NY 10025-5349 | 2013-09-16 |
| 1376985192 | Lori Yvette Woliner | Specialist | 825 W End Ave, Early Childhood Associates, New York, NY 10025-5349 | 2013-07-22 |
| 1003255928 | Iveth Viviana Montana | Case Manager/Care Coordinator | 825 W End Ave, New York, NY 10025-5349 | 2013-06-25 |
| 1528406733 | Leilani Altagracia Segura | Case Manager/Care Coordinator | 825 W End Ave, 1c, New York, NY 10025-5349 | 2013-06-10 |
| 1629316120 | Ana Vasquez | Case Manager/Care Coordinator | 825 W End Ave, New York, NY 10025-5349 | 2013-01-18 |
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|---|---|---|---|---|
| 1730795840 | Third Eye Acupuncture P.C. | Acupuncturist | 255 West 94th Street, Apt. 6k, New York, NY 10025 | 2020-09-23 |
| 1326653882 | Clare Elizabeth Dacey | Social Worker | 251 West 98th Street, Apartment 6-b, New York, NY 10025 | 2020-09-11 |
| 1528672870 | Alexandra E Lamm | Psychologist | 50 W 96th Street, Apt 5a-d, New York, NY 10025 | 2020-09-03 |
| 1700402310 | Jean Tully | Counselor | 240 W102nd St., #22a, New York, NY 10025 | 2020-06-19 |
| 1518591692 | Ethan Arthur Baker | Acupuncturist | 309 W. 99th St., Apt. 8b, New York City, NY 10025 | 2020-02-27 |
| 1083258321 | Lisanne Godnick | Social Worker | 210 W 101 St, Nyc, NY 10025 | 2019-10-30 |
| 1558910463 | Cherry Jones | Social Worker | 440 W 114th Street, Clark 6, New York, NY 10025 | 2019-09-04 |
| 1245894674 | Westside Nutrition Pllc | Dietitian, Registered | 240 West 102nd Street, Suite 15, New York, NY 10025 | 2019-05-01 |
| 1518429380 | Nathan Yehuda Ben Agi | Student in an Organized Health Care Education/Training Program | Mt. Sinai St. Lukes, 1111 Amsterdam Avenue, New York, NY 10025 | 2019-04-02 |
| 1366913196 | Mavis H Baird | Counselor | 243 W 99th St #3e, New York, NY 10025 | 2018-12-05 |
| Find all providers in zip 10025 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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| 1659995801 | Theodore Nathan Raosen | Specialist | 128 Pinehurst Ave Apt B61, New York, NY 10033-1755 | 2020-06-03 |
| 1255954301 | Courtney Foster | Specialist | 222 E 34th St # 13, New York, NY 10016-4842 | 2020-05-23 |
| 1396371852 | Laquanique Louise Lake | Specialist | 116west 32nd Street, New York, NY 10001-3212 | 2020-03-17 |
| 1205460524 | Yasmin El-hifnawi Cooper | Specialist | 2572 Frederick Douglass Blvd Unit B, New York, NY 10030-2106 | 2020-02-25 |
| 1376175992 | Patricia Ann Ebert | Specialist | 310 E 102nd St Apt 9d, New York, NY 10029-5607 | 2020-02-11 |
| 1912547928 | Roberto Manuel Gonzalez | Specialist | 250 W 108th St, New York, NY 10025-2956 | 2020-01-08 |
| 1659918639 | Delores Cody Oppecker | Specialist | 455 Fort Washington Ave Apt 53, New York, NY 10033-4631 | 2019-12-09 |
| 1174160543 | Jazmin Bernal | Specialist | 765 Riverside Dr, 3n, New York, NY 10032 | 2019-12-04 |
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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.