MATTHEW GERALD GOODMAN (NPI# 1841540994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841540994 |
| Entity Type | Individual |
| Full Name | MATTHEW GERALD GOODMAN |
| Practice Address |
6651 Chippewa St Ste 224 Saint Louis MO 63109-2531 |
| Mailing Address |
500 Anna St Lot 31 Swansea IL 62226-3902 |
| Practice Telephone | 3146456840 |
| Mailing Telephone | 6185500819 |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2012-09-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
178.008168 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871878900 | Matthew H Goodman | Pharmacist | 2412 Crooks Ave, Kaukauna, WI 54130-3914 | 2011-10-20 |
| 1679556633 | Matthew Mortensen Goodman | Dermatology | 1125 E 17th Street, Ste W-248, Santa Ana, CA 92701 | 2005-11-23 |
| 1851711584 | Matthew Goodman | Psychologist | 2051 Marengo St, Los Angeles, CA 90033-1352 | 2014-04-21 |
| 1013181056 | Matthew Reader Goodman | Psychologist | 2222 Bancroft Way Spc 4300, Berkeley, CA 94720-4300 | 2008-04-22 |
| 1588720213 | Matthew J. Goodman | Internal Medicine | 415 Ray C. Hunt Drive, Suite 2100, Charlottesville, VA 22903 | 2006-12-28 |
| 1033217088 | Matthew Boyar Goodman | Psychologist | 106 Spring St, New Bedford, MA 02740-5951 | 2006-09-20 |
| 1679579767 | Matthew Goodman | Internal Medicine | 225 Newtown Rd, Ground Floor, Warminster, PA 18974-5221 | 2005-06-23 |
| Street Address |
6651 CHIPPEWA ST STE 224 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63109-2531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417123480 | Assisted Recovery Centers of America, LLC | Clinic/Center | 6651 Chippewa St Ste 224, Saint Louis, MO 63109-2531 | 2008-04-30 |
| 1508324351 | Tammy Lebrell | Nurse Practitioner | 6651 Chippewa St Ste 224, Saint Louis, MO 63109-2531 | 2019-03-11 |
| 1366997090 | Danielle Lorraine Bono | Counselor | 6651 Chippewa St Ste 224, Saint Louis, MO 63109-2531 | 2016-08-23 |
| 1528301736 | Altynai Sagyndykova | Social Worker | 6651 Chippewa St Ste 224, Saint Louis, MO 63109-2531 | 2013-04-05 |
| 1649561119 | Melinda Lea Gan | Counselor | 6651 Chippewa St Ste 224, Saint Louis, MO 63109-2531 | 2011-05-02 |
| 1306174859 | Judealyne Percy Menzies | Registered Nurse | 6651 Chippewa St Ste 224, Saint Louis, MO 63109-2531 | 2009-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013431907 | James Edward Trout | Community Health Worker | 3956 Wenzlick Ave, St Louis, MO 63109 | 2017-08-01 |
| 1750815023 | Andrea Hyde | Nurse Practitioner | 5302 Chippewa Street, Suite 301, St Louis, MO 63109 | 2017-04-13 |
| 1215362124 | Alex Sharifian Dds Francis Park Dentistry PC | Dentist | 6650 Chippewa Street, Saint Louis, MO 63109 | 2013-09-10 |
| 1881993962 | Rachel Elizabeth Hale Hasper | Counselor | 6555 Chippewa, St Louis, MO 63109 | 2011-03-15 |
| 1730369885 | Janis Marie Lampa | Physical Therapist | 5203 Chippewa, Suite 301, St. Louis, MO 63109 | 2007-11-06 |
| 1285753772 | James Matthew Jordan | Occupational Therapist | 32 Hampton Village Plaza, St Louis, MO 63109 | 2007-03-28 |
| 1730224478 | Mercy Health Services, LLC | Optometrist | 34 Hampton Village Plaza, St. Louis, MO 63109 | 2007-02-20 |
| 1801959903 | John Thomas Doyle | Dentist | 5400 Walsh St, St Louis, MO 63109 | 2006-12-19 |
| 1649339771 | Residencial Services Corporation | Assisted Living Facility | 5890 Eichelberger, St Louis, MO 63109 | 2006-12-06 |
| 1316039852 | Gary Raymond Rieser | Dentist | 3915 Watson Road, Suite 205, Saint Louis, MO 63109 | 2006-09-29 |
| Find all providers in zip 63109 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736588 | Roberta Kerosevic | Counselor | 12203 Big Bend Rd Ste 101, Saint Louis, MO 63122-6848 | 2020-10-08 |
| 1528665726 | Kimberly Cappetta | Counselor | 4567 W Pine Blvd Apt 710, Saint Louis, MO 63108-2192 | 2020-10-01 |
| 1508475534 | Elizabeth (lisa) Pullen Will-smith | Counselor | 6649 Hoffman Ave, Saint Louis, MO 63139-2546 | 2020-07-27 |
| 1689297970 | Joy Montrice Camp | Counselor | 1126 N 16th St, Saint Louis, MO 63106-3736 | 2020-05-21 |
| 1568084622 | Amy Turk | Counselor | 701 Luckystone Ave, Saint Louis, MO 63122-3245 | 2020-05-12 |
| 1588285647 | Jesse Sieger-walls | Counselor | 32 Bellerive Acres, Saint Louis, MO 63121-4321 | 2020-04-29 |
| 1265061394 | Victoria Kyles | Counselor | 124 Forestwood Dr, Saint Louis, MO 63135-2827 | 2020-04-01 |
| 1790312528 | Sarah Williford | Counselor | 8420 Delmar Blvd Ste 301, Saint Louis, MO 63124-2178 | 2020-03-23 |
| 1033745005 | Casey Robert Thompson | Counselor | 600 Buckley Rd, Saint Louis, MO 63125-5303 | 2020-03-20 |
| 1891328613 | Jessica Kay Dowling | Counselor | 3008 Sutton Blvd Ste 200, Saint Louis, MO 63143-3064 | 2020-02-20 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63109 |
Please comment or provide details below to improve the information on MATTHEW GERALD 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.