Active NPIIndividual providerSole proprietor

Mr. Robert M Goodman, MA, MS

Psychologist in South Burlington, Vermont

NPI Number1154418663
Practice location
35 Timber Ln, South Burlington, VT 05403-5201
Fax
802-860-3613
Last updated
July 9, 2007

Robert Macy Goodman is a Psychologist based in South Burlington, VT. Robert Macy Goodman practices in South Burlington, VT and has the professional credentials of MA, MS. The NPI Number for Robert Macy Goodman is 1154418663 and holds a License No. 047-0000429 (VT). The current practice location address for Robert Macy Goodman is 35 Timber Ln, South Burlington, VT 05403-5201 and can be reached out via phone at 802-651-7562 and via fax at 802-860-3613.

Provider Profile Details

NPI Number
1154418663
Provider Name
Robert Macy Goodman
Credential
MA, MS
Provider Entity Type
Individual
Gender
Male
Address
35 Timber Ln, South Burlington, VT 05403-5201
Phone Number
802-651-7562
Fax Number
802-860-3613
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 6, 2006
Last Update Date
July 9, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
35 Timber Ln
South Burlington, VT 05403-5201
State
Vermont
Zip
05403-5201
Phone Number
802-651-7562
Fax Number
802-860-3613
South Burlington, VT 05403Get directions →

Provider Business Mailing Address Details

Address
320 Lost Nation RD
Essex Junction, VT 05452-2428
City
Essex Junction
State
VT
Zip
05452-2428
Phone Number
802-879-0439
Fax Number
802-860-3613

License Information

License Number
047-0000429
License State
VT
Taxonomy
Psychologist · 103T00000X · 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 Mr. Robert M Goodman, MA, MS?

The NPI number of Mr. Robert M Goodman, MA, MS is 1154418663. It was assigned on October 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Robert M Goodman, MA, MS?

Mr. Robert M Goodman, MA, MS is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in VT under license number 047-0000429.

Where does Mr. Robert M Goodman, MA, MS practice?

The practice location is 35 Timber Ln, South Burlington, VT 05403-5201. The office can be reached at 802-651-7562 (phone) or 802-860-3613 (fax).

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 1154418663 directly on the NPPES registry website.

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