Active NPIIndividual provider

Matthew R Goodnow, PSYD, HSP

Psychologist in Marblehead, Massachusetts

NPI Number1669056214
Practice location
12 Spring St, Marblehead, MA 01945-3314
Fax
—
Last updated
May 10, 2021

Matthew Robert Goodnow is a Psychologist based in Marblehead, MA. Matthew Robert Goodnow practices in Marblehead, MA and has the professional credentials of PSYD, HSP. The NPI Number for Matthew Robert Goodnow is 1669056214 and holds a License No. 11494 (MA). The current practice location address for Matthew Robert Goodnow is 12 Spring St, Marblehead, MA 01945-3314 and can be reached out via phone at 617-207-4124.

Provider Profile Details

NPI Number
1669056214
Provider Name
Matthew Robert Goodnow
Credential
PSYD, HSP
Provider Entity Type
Individual
Gender
Male
Address
12 Spring St, Marblehead, MA 01945-3314
Phone Number
617-207-4124
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
No
Provider Enumeration Date
May 10, 2021
Last Update Date
May 10, 2021
Certification Date
December 2, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Spring St
Marblehead, MA 01945-3314
Zip
01945-3314
Phone Number
617-207-4124
Marblehead, MA 01945Get directions →

Provider Business Mailing Address Details

Address
12 Spring St Fl 1
Marblehead, MA 01945-3314
City
Marblehead
State
MA
Zip
01945-3314
Phone Number
617-207-4124
Fax Number
617-841-7598

License Information

License Number
11494
License State
MA
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 Matthew R Goodnow, PSYD, HSP?

The NPI number of Matthew R Goodnow, PSYD, HSP is 1669056214. It was assigned on May 10, 2021 and is currently active in the NPPES registry.

What is the specialty of Matthew R Goodnow, PSYD, HSP?

Matthew R Goodnow, PSYD, HSP is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in MA under license number 11494.

Where does Matthew R Goodnow, PSYD, HSP practice?

The practice location is 12 Spring St, Marblehead, MA 01945-3314. The office can be reached at 617-207-4124 (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 1669056214 directly on the NPPES registry website.

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