Jay H Goodman, PHD
Psychologist, Clinical in Harrisburg, Pennsylvania
1720361785- Practice location
- 2704 Commerce Dr, Harrisburg, PA 17110-9380
- Phone
- 800-370-3651
- Fax
- 860-510-0020
- Last updated
- September 26, 2011
Jay Henry Goodman is a Psychologist, Clinical based in Harrisburg, PA. Jay Henry Goodman practices in Harrisburg, PA and has the professional credentials of PHD. The NPI Number for Jay Henry Goodman is 1720361785 and holds a License No. PS007703L (PA). The current practice location address for Jay Henry Goodman is 2704 Commerce Dr, Harrisburg, PA 17110-9380 and can be reached out via phone at 800-370-3651 and via fax at 860-510-0020.
Provider Profile Details
- NPI Number
- 1720361785
- Provider Name
- Jay Henry Goodman
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2704 Commerce Dr, Harrisburg, PA 17110-9380
- Phone Number
- 800-370-3651
- Fax Number
- 860-510-0020
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 26, 2011
- Last Update Date
- September 26, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2704 Commerce Dr
Harrisburg, PA 17110-9380 - City
- Harrisburg
- State
- Pennsylvania
- Zip
- 17110-9380
- Phone Number
- 800-370-3651
- Fax Number
- 860-510-0020
Provider Business Mailing Address Details
- Address
- 20 Research Pkwy
Old Saybrook, CT 06475-4214 - City
- Old Saybrook
- State
- CT
- Zip
- 06475-4214
- Phone Number
- 800-370-3651
- Fax Number
- 860-510-0020
License Information
- License Number
- PS007703L
- License State
- PA
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Jessamine Martin, PSYDPsychologist, Clinical · NPI 1033567599
- Laura M BetancourtPsychologist, Clinical · NPI 1851801120
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Frequently Asked Questions
What is the NPI number of Jay H Goodman, PHD?
The NPI number of Jay H Goodman, PHD is 1720361785. It was assigned on September 26, 2011 and is currently active in the NPPES registry.
What is the specialty of Jay H Goodman, PHD?
Jay H Goodman, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in PA under license number PS007703L.
Where does Jay H Goodman, PHD practice?
The practice location is 2704 Commerce Dr, Harrisburg, PA 17110-9380. The office can be reached at 800-370-3651 (phone) or 860-510-0020 (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 1720361785 directly on the NPPES registry website.