Active NPIIndividual provider

Tonya Goodman, APRN-PMHNP

Nurse Practitioner, Psych/Mental Health in Prospect, Connecticut

NPI Number1134738461
Practice location
104 Waterbury RD, Prospect, CT 06712-1253
Fax
—
Last updated
February 28, 2023

Tonya Goodman is a Nurse Practitioner, Psych/Mental Health based in Prospect, CT. Tonya Goodman practices in Prospect, CT and has the professional credentials of APRN-PMHNP. The NPI Number for Tonya Goodman is 1134738461 and holds a License No. 8967 (CT). The current practice location address for Tonya Goodman is 104 Waterbury RD, Prospect, CT 06712-1253 and can be reached out via phone at 860-479-1586.

Provider Profile Details

NPI Number
1134738461
Provider Name
Tonya Goodman
Credential
APRN-PMHNP
Provider Entity Type
Individual
Gender
Female
Address
104 Waterbury RD, Prospect, CT 06712-1253
Phone Number
860-479-1586
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
July 22, 2020
Last Update Date
February 28, 2023
Certification Date
February 28, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
104 Waterbury RD
Prospect, CT 06712-1253
Zip
06712-1253
Phone Number
860-479-1586
Prospect, CT 06712Get directions →

Provider Business Mailing Address Details

Address
104 Waterbury RD
Prospect, CT 06712-1253
City
Prospect
State
CT
Zip
06712-1253
Phone Number
860-479-1586
Fax Number
203-503-6515

License Information

License Number
8967
License State
CT
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tonya Goodman, APRN-PMHNP?

The NPI number of Tonya Goodman, APRN-PMHNP is 1134738461. It was assigned on July 22, 2020 and is currently active in the NPPES registry.

What is the specialty of Tonya Goodman, APRN-PMHNP?

Tonya Goodman, APRN-PMHNP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in CT under license number 8967.

Where does Tonya Goodman, APRN-PMHNP practice?

The practice location is 104 Waterbury RD, Prospect, CT 06712-1253. The office can be reached at 860-479-1586 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134738461 directly on the NPPES registry website.

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