Active NPIIndividual providerSole proprietor

Mr. Michael W Goodwin, EDD

Psychologist, Clinical in Springfield, Massachusetts

NPI Number1386777928
Practice location
576 State St, Springfield, MA 01109-4104
Fax
413-788-6925
Last updated
July 8, 2007

Michael W Goodwin is a Psychologist, Clinical based in Springfield, MA. Michael W Goodwin practices in Springfield, MA and has the professional credentials of EDD. The NPI Number for Michael W Goodwin is 1386777928 and holds a License No. 7023 (MA). The current practice location address for Michael W Goodwin is 576 State St, Springfield, MA 01109-4104 and can be reached out via phone at 413-781-6485 and via fax at 413-788-6925.

Provider Profile Details

NPI Number
1386777928
Provider Name
Michael W Goodwin
Credential
EDD
Provider Entity Type
Individual
Gender
Male
Address
576 State St, Springfield, MA 01109-4104
Phone Number
413-781-6485
Fax Number
413-788-6925
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
March 13, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
576 State St
Springfield, MA 01109-4104
Zip
01109-4104
Phone Number
413-781-6485
Fax Number
413-788-6925
Springfield, MA 01109Get directions →

Provider Business Mailing Address Details

Address
576 State St
Springfield, MA 01109-4104
City
Springfield
State
MA
Zip
01109-4104
Phone Number
413-781-6485
Fax Number
413-788-6925

License Information

License Number
7023
License State
MA
Taxonomy
Psychologist, Clinical · 103TC0700X · 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. Michael W Goodwin, EDD?

The NPI number of Mr. Michael W Goodwin, EDD is 1386777928. It was assigned on March 13, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Michael W Goodwin, EDD?

Mr. Michael W Goodwin, EDD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 7023.

Where does Mr. Michael W Goodwin, EDD practice?

The practice location is 576 State St, Springfield, MA 01109-4104. The office can be reached at 413-781-6485 (phone) or 413-788-6925 (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 1386777928 directly on the NPPES registry website.

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